- WTW (Houston, TX)
- **Description** As a Medical Claim Field Auditor , you will apply your medical claims audit, project management and claim processing and ... environment + Claims processing knowledge/exposure to one or more administrator claim systems such as UNET, WGS, NASCO, ACAS, Proclaim, PowerMHS, Facets, ITS,… more
- WTW (Houston, TX)
- **Description** As a Medical Claim Lead Auditor , you will apply your audit, project management and client management skills to lead client audits. You will ... primary interface with administrators. You will review discrepancy issues identified by field auditors, re-adjudicate claims , resolve open issues, and draft the… more
- University of Texas Rio Grande Valley (Mcallen, TX)
- …related field from an accredited university. Licenses/Certifications Required:Certified Professional Medical Auditor ( CPMA ), Certified Professional Coder ( ... federal/state laws and regulations and UTRGV policies. To review and analyze medical records, claims , and workflow processes to ensure accuracy, completeness,… more
- AdventHealth (Killeen, TX)
- …insurance protection to minimize risk. * Coordinate risk management/limit liability claims and lawsuits. * Optimize handling of bank and deposit relationships ... results and reports to leadership and/or the Board, Finance Committee, and Medical Executive Committee. * May oversee governmental reimbursement programs such as… more
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