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...
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/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/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...
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 ...
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...
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...
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...
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...
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...
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...
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...
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...
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...
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...
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...
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...
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...
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...
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...
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...
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...
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...
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...
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...
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...
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...
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 ...
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 ...
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...
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...
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 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...
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...
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 ...
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 ...
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...
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 - 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...
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 - 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...
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...
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 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...
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 ...
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-...
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...
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...
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...
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...