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"claims auditor ii sr remote ps34506" in "None"

Senior Claims Examiner (Remote)

UST Columbus Ohio United States
(No Timezone Provided)

Job Description Senior Claims Examiner/Auditor UST HealthProof is looking for Sr. Claims Examiner, reporting to the Claims Team Leader; the Examiner is responsible for the adjudication of healthcare claims utilizing group and payer-specific policies and procedures. Responsible for reviewing the...

Remote Healthcare Claims Quality Assurance Auditor

Piper Companies Linthicum Heights Maryland United States
(No Timezone Provided)

Piper Clinical Solutions is seeking motivated professionals for a Remote Healthcare Claims Quality Assurance Auditor opportunity with a national Health Insurance Organization. The Healthcare Claims Quality Assurance Auditor will support ongoing claims audit operations to ensure strong quality f...

Senior Claims Examiner (Remote)

UST Columbus Ohio United States
(No Timezone Provided)

Senior Claims Examiner/Auditor UST HealthProof is looking for Sr. Claims Examiner, reporting to the Claims Team Leader; the Examiner is responsible for the adjudication of healthcare claims utilizing group and payer-specific policies and procedures. Responsible for reviewing the data in the claims...

Senior Claims Examiner (Remote)

UST Global Columbus Ohio United States
(No Timezone Provided)

Senior Claims Examiner/AuditorUST HealthProof is looking for Sr. Claims Examiner, reporting to the Claims Team Leader; the Examiner is responsible for the adjudication of healthcare claims utilizing group and payer-specific policies and procedures. Responsible for reviewing the data in the claims pr...

Staff Auditor II (Hybrid: Onsite and Remote Work)

US Foods Des Plaines Illinois United States
(No Timezone Provided)

ARE YOU A CURRENT US FOODS EMPLOYEE? PLEASE APPLY DIRECTLY THROUGH OUR INTERNAL WORKDAY CAREER SITE. Join Our Community of Food People! The Staff Auditor II will participate in meeting the department objectives including 1) ensuring a strong control environment to protect the company, employees and ...

Clinical Quality RN Auditor - Telecommute - 2017985

UnitedHealth Group Phoenix Arizona United States
(No Timezone Provided)

There's an energy and excitement here, a shared mission to improve the lives of others as well as our own. Nursing here isn't for everybody. Instead of seeing a handful of patients each day, your work may affect millions for years to come. Ready for a new path? Start doing  your life's best work.(s...

IP Coding Auditor - Remote

CoxHealth Springfield Missouri United States
(No Timezone Provided)

Summary Job Summary The Inpatient Coding Auditor/Trainer will work with the Inpatient Coder Trainee, Inpatient Coder I, II and III to ensure that their coding is meeting Quality accuracy based on Coding Guidelines and other rules set forth to govern Coding practices. This includes the Offic...

CoxHealth IP Coding Auditor - Remote

CoxHealth Springfield Missouri United States
(No Timezone Provided)

Summary Job Summary The Inpatient Coding Auditor/Trainer will work with the Inpatient Coder Trainee, Inpatient Coder I, II and III to ensure that their coding is meeting Quality accuracy based on Coding Guidelines and other rules set forth to govern Coding practices. This includes the Offic...

Coding Quality Senior Auditor - Remote

Tenet Health Frisco Texas United States
(No Timezone Provided)

As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the bus...

Coder Auditor II - Telecommute

UnitedHealth Group Saint Petersburg Florida United States
(No Timezone Provided)

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care dat...

IP Coding Auditor - Remote

CoxHealth Springfield Missouri United States
(No Timezone Provided)

Summary Job Summary The Inpatient Coding Auditor/Trainer will work with the Inpatient Coder Trainee, Inpatient Coder I, II and III to ensure that their coding is meeting Quality accuracy based on Coding Guidelines and other rules set forth to govern Coding practices. This includes the Official Codin...

Clinical Validation Auditor - Remote (anywhere US)

Change Healthcare Washington District of Columbia United States
(No Timezone Provided)

The Clinical Review Auditor is responsible for performing accurate Clinical Validation Audits of inpatient medical records to validate diagnoses. The Clinical Review Auditor also screens claim data and responds to provider appeals. The Clinical Review Auditor works closely with DRG Analysts and p...

Clinical Validation Auditor - Remote (anywhere US)

Change Healthcare None California United States
(No Timezone Provided)

The Clinical Review Auditor is responsible for performing accurate Clinical Validation Audits of inpatient medical records to validate diagnoses. The Clinical Review Auditor also screens claim data and responds to provider appeals. The Clinical Review Auditor works closely with DRG Analysts and p...

Clinical Validation Auditor - Remote (anywhere US)

Change Healthcare None Georgia United States
(No Timezone Provided)

The Clinical Review Auditor is responsible for performing accurate Clinical Validation Audits of inpatient medical records to validate diagnoses. The Clinical Review Auditor also screens claim data and responds to provider appeals. The Clinical Review Auditor works closely with DRG Analysts and p...

Clinical Validation Auditor - Remote (anywhere US)

Change Healthcare None Nebraska United States
(No Timezone Provided)

The Clinical Review Auditor is responsible for performing accurate Clinical Validation Audits of inpatient medical records to validate diagnoses. The Clinical Review Auditor also screens claim data and responds to provider appeals. The Clinical Review Auditor works closely with DRG Analysts and p...

Clinical Validation Auditor - Remote (anywhere US)

Change Healthcare None Rhode Island United States
(No Timezone Provided)

The Clinical Review Auditor is responsible for performing accurate Clinical Validation Audits of inpatient medical records to validate diagnoses. The Clinical Review Auditor also screens claim data and responds to provider appeals. The Clinical Review Auditor works closely with DRG Analysts and p...

Clinical Validation Auditor - Remote (anywhere US)

Change Healthcare Maine Maine United States
(No Timezone Provided)

The Clinical Review Auditor is responsible for performing accurate Clinical Validation Audits of inpatient medical records to validate diagnoses. The Clinical Review Auditor also screens claim data and responds to provider appeals. The Clinical Review Auditor works closely with DRG Analysts and p...

Coder Auditor II - Telecommute

UnitedHealth Group None Florida United States
(No Timezone Provided)

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care dat...

IP Coding Auditor - Remote

CoxHealth Springfield Missouri United States
(No Timezone Provided)

Summary* Job Summary* The Inpatient Coding Auditor/Trainer will work with the Inpatient Coder Trainee, Inpatient Coder I, II and III to ensure that their coding is meeting Quality accuracy based on Coding Guidelines and other rules set forth to govern Coding practices. This includes the Official Cod...

Coder Auditor II - Telecommute

UnitedHealth Group Atlanta Georgia United States
(No Timezone Provided)

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care dat...

Accounts Receivable Specialist - Physician Billing (Remote Work possible after 6 months training!)

St. Luke’s Sacred Heart Campus Allentown Pennsylvania United States
(No Timezone Provided)

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care f...

Corporate Actuarial Expert SR (U.S. Based Remote Eligible)

Allianz Partners Richmond Virginia United States
(No Timezone Provided)

Job Purpose/RoleAt Allianz Partners, we care for all the things that make you, you. For growing new skills and opening up exciting possibilities. For changing insurance for the better and turning data into an outstanding experience. Come share your ideas, solve problems, and feel proud to be part of...

CRC Coding Auditor - Remote (Flexible Scheduling)

Conifer Health Solutions Frisco Texas United States
(No Timezone Provided)

Description As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succee...

CRC Coding Auditor - Remote (Flexible Scheduling)

Tenet Health Frisco Texas United States
(No Timezone Provided)

As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the bus...

Remote Total Loss Claims Representative Trainee, I, II, Sr

National General Insurance None California United States
(No Timezone Provided)

Primary Purpose: Examine claims data, investigate the facts of loss, determine coverage and liability, and adjusts claims within limit of authority. Essential Duties and Responsibilities: Following is a summary of the essential functions for this job. Other duties may be performed, both major and...

Client Service Manager Remote

Gallagher Affinity Glendale California United States
(No Timezone Provided)

Position Summary: The Branch Client Service Manager II is accountable for delivering high quality and efficient service to both internal and external clients through the day-to-day account management of an assigned group of accounts within a Branch that consistently meets or exceeds CSO revenue benc...

Principal GMP Auditor (Remote)

Regeneron Pharmaceuticals, Inc. Troy New York United States
(No Timezone Provided)

We are currently looking to fill a Principal GMP Auditor position. This role is responsible for planning and conducting quality audits in manufacturing (GMP) within designated Quality Auditing area.In this role, a typical day might include the following:• Scheduling, preparing, and conducting audits...

Claims Specialist II, Commercial Property (Remote)

Nationwide Private Client Scottsdale Arizona United States
(No Timezone Provided)

Job Description Key Responsibilities : Responsible for moderate to serious complexity commercial property damage claims with little to no direction and oversight. Makes decisions within delegated authorization; recommends settlement values in the disposition of moderate and sometimes serious ...

Claims Specialist II, Commercial Property (Remote)

Nationwide Private Client Scottsdale Arizona United States
(No Timezone Provided)

Job Description Key Responsibilities : Responsible for moderate to serious complexity commercial property damage claims with little to no direction and oversight. Makes decisions within delegated authorization; recommends settlement values in the disposition of moderate and sometimes serious ...

Field Claims Specialist II, Property (Remote

Nationwide Private Client None North Carolina United States
(No Timezone Provided)

Job Description Key Responsibilities: Handles all assigned claims promptly and effectively, with little to no direction and oversight. Makes decisions within delegated authority as outlined in company policies and procedures. Determines proper policy coverages and applies appropriate claims...

Claims Technician - Remote

Pearl Interactive Network Columbia Maryland United States
(No Timezone Provided)

Pearl Interactive Network is seeking to hire a Claims Technician – Remote. The Claims Technician is responsible for processing reimbursement payments for the Ticket to Work Program. The Claims Technician will provide instructions about payments and distribution. The Claims Technician will pro...

Senior Coding Audit Analyst, SIU (Remote)

Oscar Health New York New York United States
(No Timezone Provided)

Hi, we're Oscar. We’re hiring a Senior Coding Audit Analyst to join our SIU team.  Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we wou...

Customer Service Rep Work from Home $16

SaviLinx None Massachusetts United States
(No Timezone Provided)

Customer Service Representative II (CSR II)The CSR II embodies the core values of SaviLinx:Makes every Interaction CountActs with Respect and IntegrityDemonstrates Passion for Continuous ImprovementWorthy of Trust from all StakeholdersJob Location: Remote out of Lawrence, MA (Work from Home) Jo...

Data Analyst II (Risk Adjustment) - Remote Available

Envolve Pharmacy Solutions Philadelphia Pennsylvania United States
(No Timezone Provided)

You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Thi...

Sr Clinical Research Associate - CRO - Remote US

Work from Home Nashville Tennessee United States
(No Timezone Provided)

Description Introduction Are you looking for a work environment where diversity and inclusion thrive? Submit your application for our Sr Clinical Research Associate opening with Sarah Cannon Development Innovations today and find out what it truly means to be a part of the HCA Healthcare ...

Senior Business Analytics Consultant (Remote - Home Based Worker)

Allstate Insurance Company Northbrook Illinois United States
(No Timezone Provided)

The world isn't standing still, and neither is Allstate. We're moving quickly, looking across our businesses and brands and taking bold steps to better serve customers' evolving needs. That's why now is an exciting time to join our team. You'll have opportunities to take risks, challenge the status ...

Director, Quality (Remote)

Thermo Fisher Scientific Carlsbad California United States
(No Timezone Provided)

Thermo Fisher Scientific Inc. is the world leader in serving science, with annual revenue exceeding $35 billion. Our Mission is to enable our customers to make the world healthier, cleaner and safer. Whether our customers are accelerating life sciences research, solving complex analytical challenges...

REMOTE Internal Auditor

Insight Global Durham North Carolina United States
(No Timezone Provided)

Day to Day: A client is looking for a Financial Analyst II (Internal Auditor) to work in the Durham, NC area or remote from (NC, CA, FL, GA, MD, NY, SC, TN, TX, VA, or Washington DC). This department provides key support to the revenue cycle departments with a focus on documenting operational proces...

Claims Processor - REMOTE

ReqRoute,Inc Denver Colorado United States
(No Timezone Provided)

Claims Processor - Healthcare Las Vegas, NVContractFully Remote/Work From Home and Equipment will be providedFunction:Examining and entering basic claims for appropriateness of care and completeness of information in accordance with accepted coverage guidelinesEnsuring all mandated government and st...

Claims Processors Remote

ReqRoute,Inc Dallas Texas United States
(No Timezone Provided)

Healthcare Claims ProcessorDallas TXContractFully Remote/Work From Home and Equipment will be providedFunction:Examining and entering basic claims for appropriateness of care and completeness of information in accordance with accepted coverage guidelinesEnsuring all mandated government and state reg...

Claims Processor - WORK FROM HOME

ReqRoute,Inc Oklahoma City Oklahoma United States
(No Timezone Provided)

Claims Processor - Healthcare Las Vegas, NVContractFully Remote/Work From Home and Equipment will be providedFunction:Examining and entering basic claims for appropriateness of care and completeness of information in accordance with accepted coverage guidelinesEnsuring all mandated government and st...

Senior Compliance Auditor II - Remote

Atrium Health Charlotte North Carolina United States
(No Timezone Provided)

Job SummaryTrains team members and performs coding audits. Reviews clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD9/10-CM and CPT 4 codes for billing internal and external reporting, research and regulatory compliance. Assists Coding Director, C...

SR INTERNAL AUDITOR - Remote - Birmingham, AL; Nashville, TN; Memphis, TN; Huntsville, AL; Atlanta, GA

Thor Industries Elkhart Indiana United States
(No Timezone Provided)

Title: Senior Internal Auditor Status: ExemptReport: Director of Internal AuditLocation: Remote - Birmingham, Nashville, Memphis, Atlanta, or Kansas City AreaOPPORTUNITY OVERVIEW:In 1980, THOR Industries embarked on a journey to connect people with nature, and families with each other. Today, we con...

Customer Service Rep Work from Home 16 - 17/hr - plus sign-on bonuses

SaviLinx Caribou Maine United States
(No Timezone Provided)

Customer Service Representative II (CSR II) The CSR II embodies the core values of SaviLinx: Makes every Interaction CountActs with Respect and IntegrityDemonstrates Passion for Continuous ImprovementWorthy of Trust from all Stakeholders Job Location: Remote out of Caribou, ME (Work from Home) J...

Accounts Receivable Specialist - Physician Billing (Remote Work possible after 6 months training!)

St. Lukes Hospital Allentown Pennsylvania United States
(No Timezone Provided)

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for ...

Remote Senior Business Intelligence Analyst

Spectrum Health Grand Rapids Michigan United States
(No Timezone Provided)

CURRENT SPECTRUM HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Spectrum Health team members only.Job DescriptionJob SummaryWorking as embedded intelligence expert on population health informaticsas part of an integrated cross-...

Sr Systems Auditor - Remote

Florida Blue Jacksonville Florida United States
(No Timezone Provided)

JOB DESCRIPTION **This position is offered as a Remote Opportunity*** The Sr Systems Audit Specialist will support the Internal Audit infrastructure and security group. As an individual contributor, you will assist the IA manager in conducting internal security architecture, application securit...

Claims Examiner II - Remote

Experienced Recruiting Partners Columbia South Carolina United States
(No Timezone Provided)

Manages a pending caseload of moderate severity and complexity property and/or liability homeowner claims in a team environment. Ensures prompt, effective, and courteous handling of all claims to policyholders and claimants. Participates in the after-hours phone program on a rotational basis. Specia...

Regulatory Affairs Specialist II (100% Remote)

Dawarconsulting Santa Clara California United States
(No Timezone Provided)

Our client, a world leader in Life Sciences who is looking for Regulatory Affairs Specialist II(100% Remote).Job Title: Regulatory Affairs Specialist II (100% Remote)Job Type: Long-Term ContractLocation: Santa Clara, CA Responsibilities:• Manages regulatory responsibilities associated with the devel...

Billing Customer Service Representatives - Remote Work Options

Mercy Medical Physician Practi Des Moines Iowa United States
(No Timezone Provided)

Overview:MercyOne Central Iowa operates four not-for-profit, Catholic medical centers in Des Moines, West Des Moines, Newton and Centerville and two specialty hospitals MercyOne Childrens Hospital in Des Moines and MercyOne Rehabilitation Hospital in Clive (965 beds total) along with more than 20 ad...