- Baystate Health (Springfield, MA)
- …OF WORKING WITH BAYSTATE! Excellent Compensation High-quality, low-cost medical, dental and vision insurance Generous PTO - up to 25 days in the first year, with ... physical, and financial health Pet, home, auto and personal insurance Life insurance Reimbursement for a variety...be applicable to this role. Summary: Reports to the Nurse Manager but daily activities are coordinated by the… more
- Trinity Health (Ann Arbor, MI)
- …between locations within the region. **MINIMUM QUALIFICATIONS** **Licensure/Certification:** Registered Nurse or Licensed Vocational Nurse / Licensed Practical ... and utilization management. Outpatient CDI experience preferred. Knowledge of insurance and governmental programs, regulations, and billing processes (eg, Medicare,… more
- Elara Caring (Fort Worth, TX)
- …the Right Place. **Job Description:** **REMOTE POSITION** The Billing Compliance Auditor performs comprehensive audits within the Skilled Home Health, Hospice, ... coding, and clinical documentation. Duties of the Billing Compliance Auditor include but are not limited to: (1) conducting...at no cost + Opportunities for advancement + Comprehensive insurance plans for medical, dental, and vision benefits +… more
- Elevance Health (Seattle, WA)
- **Diagnosis Related Group Clinical Validation Auditor -RN** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... Friday 8AM -5PM (local time) The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
- MyFlorida (Alachua, FL)
- REGISTERED NURSE SPECIALIST - 64082415 Date: Jul 24, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 852184 Agency: Department of Health Working Title: REGISTERED NURSE SPECIALIST - 64082415 Pay Plan: Career Service Position Number: 64082415… more
- Baystate Health (Springfield, MA)
- …OF WORKING WITH BAYSTATE!** + Excellent Compensation High-quality, low-cost medical, dental and vision insurance + Generous PTO - up to 25 days in the first year, ... and financial health + Pet, home, auto and personal insurance + Life insurance + Reimbursement for...be applicable to this role.** **Summary:** **Reports to the Nurse Manager but daily activities are coordinated by the… more
- Baystate Health (Springfield, MA)
- …OF WORKING WITH BAYSTATE!** + Excellent Compensation High-quality, low-cost medical, dental and vision insurance + Generous PTO - up to 25 days in the first year, ... and financial health + Pet, home, auto and personal insurance + Life insurance + Reimbursement for...be applicable to this role.** **Summary:** Reports to the Nurse Manager but daily activities are coordinated by the… more
- St. Luke's University Health Network (Allentown, PA)
- …APR-DRG for the purpose of appealing proposed DRG and coding changes by insurance providers or their respective auditors JOB DUTIES AND RESPONSIBILITIES: + Conduct ... coding determination made by the government or commercial payors, or their auditor representative. + Facilitate clinical chart reviews to assist with supporting… more
- Trinity Health (Livonia, MI)
- …Maintains productivity standards + Maintains compliance with regulatory requirements Assist Nurse Auditor and/or Coordinator with denial coordination process; ... RHIA, RHIT, CCS, CPC/COC or other coding credentials _and/or Licensed Vocational Nurse / Licensed Practical Nurse licensure_ is required. CHC (Healthcare… more
- HCA Healthcare (San Antonio, TX)
- …true discrepancy and complete incident reports as required. You will review RX Auditor report and generate investigation reports for nurse managers/directors to ... plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving… more
- Ochsner Health (New Orleans, LA)
- …providers , on- site case management team, as well as LPN/RN or Nurse Auditor in the Pre-Service department. + Performs Pre-Service collection estimation ... today!** This job is responsible for assisting patients by communicating with insurance payors via various methods (ie telephone, fax, internet) to determine… more
- Covenant Health Inc. (Knoxville, TN)
- …standards of Telephone Excellence policy. + Refers patient accounts to nurse auditor upon request by patient or insurance company, and monitors account until ... Rep II is responsible for inbound inquiries from patients, family members, insurance carriers or other payment sources. The primary responsibility of the Patient… more
- HCA Healthcare (San Antonio, TX)
- …true discrepancy and complete incident reports as required. You will review RX Auditor report and generate investigation reports for nurse managers/directors to ... plans (accident, critical illness, hospital indemnity), auto and home insurance , identity theft protection, legal counseling, long-term care coverage, moving… more
- GE Aerospace (Jacksonville, FL)
- …experience interacting with senior DCMA (ACO, DACO, CACO) and DCAA (supervisory auditor , Branch Manager, Regional Audit Manager). + Experience with FPRP and ICS ... and prescription drug coverage; access to a Health Coach, a 24/7 nurse -based resource; and access to the Employee Assistance Program, providing 24/7 confidential… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, Geriatrics, etc.) to ensure continuity and ... NYS DOH, CMS, NCQA, and HEDIS, serving as internal auditor within the group. + Responsible for all aspects...package may include participation in group health and/or dental insurance , retirement plan, wellness program, paid time away from… more
