CLAIMS INSTITUTIONAL QUALITY AUDIT jobs in UNITED STATES, United Kingdom

for reviewing, investigating, and auditing of Institutional / Facility claims. This position is full-time, Monday - Friday... Group’s Telecommuter Policy. Primary Responsibilities: Audit claims based on contractual arrangements with providers...

management, digital and data science, law, claims, marketing, audit, and human resources. The Impact: Optimize sales... 3,800 client plans and for maintaining MassMutual’s market-leading position in the space. The Head of Institutional Insurance...

level of accuracy and compliance. Provide support to the Audit/Education Team. Supervise annual provider audits... worklist as needed. Supervise Coding Quality Audits Provide coding support to clinics and providers. Research and respond...

level of accuracy and compliance. Provide support to the Audit/Education Team. Supervise annual provider audits... worklist as needed. Supervise Coding Quality Audits Provide coding support to clinics and providers. Research and respond...

of improving the health of our communities. About the Role: Job Summary Coding Education & Quality Auditors (CEQA) conduct... standards. CEQAs apply standardized audit scoring methodology to evaluate consistency of documentation and coding...

that is results-oriented, with a focus on attention to detail and quality. As an Executive Administrative Assistant in Audit...Become an integral part of the Audit team where you will have the opportunity to work in a fast-paced organization...

. Manages claims’ matters related to front-end and back-end revenue cycle processes such as patient registration, managed care... referrals/ prior authorizations, charge capture, medical record documentation, coding and billing, claims adjudication...

Job Description: Become an integral part of the Audit team where you will have the opportunity to work in a fast.... Be part of a team that is results-oriented, with a focus on attention to detail and quality. As an successful Executive...

and analyzing relevant data; to audit program processes; monitor quality; identify, problems and their root causes, and make... are met, while cultivating service/product quality and customer satisfaction. Ensures the Regional Manager, THS and RHM stakeholders are kept...

. Ability to develop methodologies for collecting and analyzing relevant data; to audit program processes; monitor quality; identify... and productivity improvement objectives are met, while cultivating service/product quality and patient satisfaction. Ensures the...

and analyzing relevant data; to audit program processes; monitor quality; identify, problems and their root causes, and make... are met, while cultivating service/product quality and customer satisfaction. Ensures the Regional Manager, THS and RHM stakeholders are kept...

methodologies for collecting and analyzing relevant data; to audit program processes; monitor quality; identify, problems... service/product quality and customer satisfaction. Ensures the General Manager and staff are appropriately kept abreast...

of repairs, receipt of new blades, quality and safety audits, root cause analysis of claims, detailed inspection of blades... energy solutions so that its corporate and institutional clients can meet their decarbonisation goals. This includes the...

experts tasked to work independently and collectively to manage the professional and institutional reimbursement..., analyzing requirements, pricing, and validating the configuration with the Business owners to ensure requirements and quality...

corporate, bank and trust owned life insurance in the U.S., primarily to institutional clients for use in connection... such as updating marketing materials, contracts, systems, surveys and responding to audit requests Supporting distribution and brokers...

preparation, analysis, maintenance, reconciliation, and review of complex institutional benefits and payroll accounting reporting.... Manage active and inactive employee benefit accounting claims, recording receipts from participants and making payments...

litigation and claims. · Assist General Counsel to develop, coordinate and conduct in-service training on legal topics... claims. · Provide legal support on interpretations on labor law, discrimination complaints, grievance processes, faculty...