Stop Loss Claims Auditor - Lansdale, PA

NTT DATA Services currently seeks a Stop Loss Claims Auditor to join our team. Must live within commute to Lansdale, PA. · Position OverviewThe Stop Loss Claims Auditor plays a critical role in auditing, evaluating, and validating stop loss claim submissions to ensure they comply ...

NTT DATA Services currently seeks a Stop Loss Claims Auditorto join our team. Must live within commute to Lansdale, PA. Position Overview · The Stop Loss Claims Auditor plays a critical role in auditing, evaluating, and validating stop loss claim submissions to ensure they comply ...

Starr Insurance Companies is a leading insurance and investment organization, providing commercial property and casualty insurance, including travel and accident coverage, to almost every imaginable business and industry in virtually every part of the world. · Cornelius Vander St ...

Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together, we will achieve our mission to enhance the health and well-being of the people and communities we serve. · The Auditor, Payme ...

· Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together, we will achieve our mission to enhance the health and well-being of the people and communities we serve. · The Auditor, Pa ...

Provides technical and analytical support for patient account billing analysis and evaluation in the performance improvement process. Performs chart review in identifying if variation from quality of billing exists. · ...

Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to persona ...

Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to persona ...

Description · Pharmacy Claims Auditor CPhT · Do you have a CPhT certification? · Would you like to audit pharmacy claims for accuracy? · About the Role · Conduent Payment Integrity Solutions performs in depth pharmacy audits on behalf of our healthcare payer clients. As a Pharmac ...

We are a values-based organization where respect, integrity, excellence, collaboration and passion define who we are and how we do business. We value diversity of backgrounds experience and perspectives and strive to foster an inclusive environment that enables all our team membe ...

The Human Resources Manager is responsible for overseeing all human resources functions for CareSense Home Care, with a strong focus on workforce compliance, recruitment, onboarding, employee relations, retention, and personnel file management. This position helps ensure that all ...

We are seeking a seasoned Compliance Director to lead and oversee the compliance function of our Property & Casualty Insurance underwriting operations. · This executive will ensure that our company adheres to all applicable laws, regulations, and internal policies. · Regulatory O ...

We are a values-based organization where respect, integrity, excellence, collaboration and passion define who we are and how we do business. We value diversity of backgrounds experience and perspectives strive to foster an inclusive environment that enables all our team members t ...

Job Title: 2nd Shift Shop Mechanic · About the Job · We are seeking a self-motivated and organized individual to join our team as a 2nd shift shop mechanic. · This role is responsible for repairing and maintaining electric, diesel, and gasoline vocational trucks. · Responsibiliti ...

Job Title: Registered Nurse · BAYADA Home Health Care is seeking a skilled and compassionate Registered Nurse (RN) for a home health nursing job in the Bridgeport area. · Specialty: Home Health · Discipline: RN · /strong>, with flexibility to create a schedule that suits you and ...

We are looking for a meticulous and analytical Payment Integrity Auditor to ensure accurate claims payment, uphold compliance with regulatory standards, and drive financial integrity through detailed chart reviews and collaborative audit processes. · ...

The Brandywine Claim Director is responsible for all aspects of claim handling on a book of complex asbestos, long term exposure and environmental claims from first notice through resolution with guidance from, · a Brandywine Vice President.JOB RESPONSIBILITIESAnalyze contracts,p ...

The AVP, Claim Manager is responsible for managing the claim audit staff, overseeing the claim audit process, analyzing claims data, leading audit processes, managing a team of auditors, and implementing improvements to enhance operational efficiencies. · Staff Management: Regula ...

The Brandywine Assistant Vice President- Claim Audit Manager is responsible for the management of the claim audit staff. · Regular review of the work of the audit team and the Medicare reporting process. · ...

We are looking for Claims Assistant to join our team. · Assists claimants, providers, and clients with problems or questions regarding their claims and/or policies · Ensuring compliance with state laws, company policies, and procedures in all claim-related activities · ...