- Randstad US (Duluth, GA)
- hybrid medical claims auditor (6 weeks). + duluth , georgia + posted may 1, 2024 **job details** summary + $20 - $23 per hour + temporary + high school + ... occupations + referenceAB_4525885 job details Are you an experienced Medical Claims specialist or Revenue Cycle Specialist...and importing into Sharefile. This position will be a hybrid role located in Duluth, GA. This position will… more
- Humana (Columbus, OH)
- …of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, ... **Where you Come In** The Medical Coding Auditor reviews medical claims submitted...**Work at Home Requirements** * To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided… more
- Elevance Health (Roanoke, VA)
- **Clinical Provider Auditor II** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of ... Integrity, is determined to recover, eliminate and prevent unnecessary medical -expense spending. The **Clinical Provider Auditor II**...prevention and control. + Reviews and conducts analysis of claims and medical records prior to payment… more
- Elevance Health (Cincinnati, OH)
- …Performance Quality Auditor III** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of ... one of our PulsePoint locations. The **Performance Quality Auditor III** will be responsible for evaluating the quality...Included are processes related to enrollment and billing and claims processing, as well as customer service written and… more
- State of Colorado (Denver, CO)
- Community Living Data & Claims Analyst Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4533291) Apply Community Living Data & Claims ... Defined Contribution Plan, plus 401K and 457 plans + Medical (https://dhr.colorado.gov/state-employees/state-employee-benefits/ medical -benefits) , Dental (https://dhr.colorado.gov/state-employees/state-employee-benefits/dental-insurance) , and… more
- Ventura County (Ventura, CA)
- …analyze (Accountant I) or calculates and analyzes (Accountant II) Incurred but not Reported medical claims based on system generated claim lag reports to provide ... for some positions. + Telework Schedule - A remote hybrid telework schedule may be available for some positions....up to $23,530 annually to offset the purchase of medical , dental, and/or vision insurance for you and your… more
- Ventura County (Ventura, CA)
- …by offering compressed work (eg, 9/80 or 4/10 workweek) and remote hybrid telework schedules for most positions subject to organizational needs and satisfactory ... flexible credit allowance of up to $23,530 annually to offset the purchase of medical , dental, and/or vision insurance for you and your dependents. + Employee only -… more
- Ventura County (Ventura, CA)
- …by offering compressed work (eg, 9/80 or 4/10 workweek) and remote hybrid telework schedules for some positions subject to organizational needs and satisfactory ... up to $23,530 annually to offset the purchase of medical , dental, and/or vision insurance for you and your...in assigned program area. + Receives, reviews and verifies claims , invoices, and payroll documents for authorization of expenditures,… more
- The Hershey Company (Hershey, PA)
- * Location:* Hershey, PA * Work location*: On-site hybrid . * Summary:* Administer all aspects of employee leaves and absences in accordance with Company policy ... for serving as primary contact for all inquiries regarding Family and Medical Leave Act (FMLA), short-term disability (STD), long-term disability (LTD), Workers… more
- University of Michigan (Ann Arbor, MI)
- …substantiate Hospital and Professional Billing claims in response to payer, auditor , and government agency requests. Process medical record requests for ... locate, analyze, and produce medical records required to...PM. Flexibility to scheduled hours upon supervisor approval. + Hybrid training is required for this position and will… more
- UCLA Health (Los Angeles, CA)
- …Certified Risk Adjustment (CRC) coder AAPC certification, and Certified Professional Medical Auditor (CPMA) certifications from AAPC (to obtain CPMA ... Note: Position is onsite with the consideration of flexible hybrid Take on an important leadership role within an...of HCC models V24 and V28 + Familiarity with claims and encounter data processes + Experience conducting mock… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …is exposed. + Create meaningful partnership with Operations team (IT and Claims ) to including consistent participation in staff meetings and other business meetings ... or more of the following certifications preferred: + Certified Internal Auditor (CIA) + Certification in Control Self-Assessment (CCSA) Minimum Education… more