CLAIMS AUDITOR jobs in UNITED STATES, United Kingdom

with and educates revenue-producing hospital departments on charge capture, charge reconciliation, late charges, unbilled claims' issues...

The Claims Auditor is responsible for the daily auditing of health or life claims, across all business lines..., which have been paid or are to be paid and are over the initial examiner’s limit. The Claims Auditor is expected to be an expert in...

The Claims Auditor performs analysis and monitors trends identified through the audit process. This individual... experience as medical claims Auditor or 3-5 years previous experience examining medical Claims preferred. Preferably in an IPA...

Imagine360 is currently seeking a Healthcare Claims Auditor to join our team! This Healthcare Claims Auditor uses... but are not limited to: The audit team is compiled of call center auditors, claims, and claim registration auditors, and eligibility...

. About Our Opportunity As the Medical Claims Auditor Lead (Claims Auditor and Cost Containment Lead), you will ensure a smooth and efficient... claims process by reviewing, organizing, and auditing claim documents. Adhering to the terms and conditions laid out in plan...

. About Our Opportunity As the Claims Auditor and Cost Containment Lead, you will ensure a smooth and efficient claims process by reviewing... members, contributing to a robust claims process that prioritizes efficiency, accuracy, and cost optimization. Things You’ll...

Auditor (Claims) CalOptima CalOptima Health is seeking a highly motivated an experienced Auditor (Claims...) to join our team. The Auditor (Claims) will be responsible for conducting routine oversight monitoring and auditing of all business...

Oversight Compliance Auditor - Medical Claims is responsible for scheduling, coordinating, and conducting delegated entity..., reporting findings as required to internal departments, and communicating recommendations to delegated entity for claims...

! Job Title: SHP Claims Auditor (remote) Cost Center: 682891379 SHP-Claims Scheduled Weekly Hours: 40 Employee Type: Regular... Work Shift: 40 Normal (United States of America) Job Description: JOB SUMMARY The SHP Claims Auditor is responsible...

, support and opportunities you'd expect from a Fortune 6 leader. The Claims QA Auditor performs quality assurance functions... Auditor maintains and provides statistical reports to Claims Management as requested. Works cooperatively with the Claims...

Under immediate supervision, provides a full range of support to the Lead Claims Processing Auditor and Claims... Processing Manager. Expedites the processing and payment of all claims. Must have the ability to read, analyze, and interpret...

us to keep moving forward. Job Overview The Claims Auditor will be responsible for the accurate review and auditing of claims... that are adjudicated by the system and the Claims Examiners. The auditor will suggest process improvements to management and act...

We are looking for a Senior Claims Auditor to join our team. Senior Claims Auditor will focus on claims adjudication... with outside medical systems and claims processing/adjudication processes. The Auditor must independently perform comprehensive...

claims processing errors in the auditor Access database program, and report all findings to the Manager. 3. Assist the... medicine, and receive care. SUMMARY: Responsible for auditing and training claims staff on all Managed Care claims received...

Conducts Claim Technical Quality Reviews of: Claims Practice and assist in the sharing and distribution... handlers on technical claims content and managers on the use of the quality review tool for results and analysis. Assure...

Department Reviews of assigned insurance claims and report findings to the impacted Focused Department to ensure the accuracy... best practices Timely and consistent customer service levels & claims decisions provided Risk mitigation Adherence to business...

Department Reviews of assigned insurance claims and report findings to the impacted Focused Department to ensure the accuracy... best practices Timely and consistent customer service levels & claims decisions provided Risk mitigation Adherence to business...