Claims Auditor - Remote

We exist for workers and their employers -- who are the backbone of our economy.  That is where Centivo comes in -- our mission is to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. · The Claims Auditor Lead is primarily respo ...

· Overview · The Sr. Auditor, Quality Assurance position is responsible for ensuring that the audited claims meet quality standards necessary to generate high quality recoverable claims for the benefit of Cotiviti and our clients. Audited claim types include: Outpatient and Spec ...

· Overview · The Sr. Auditor, Quality Assurance position is responsible for ensuring that the audited claims meet quality standards necessary to generate high quality recoverable claims for the benefit of Cotiviti and our clients. Quality assurance emphasizes compliance with est ...

· Overview · Cotiviti Healthcare is a leading provider of payment accuracy services to the most recognized companies in the healthcare and retail industries. We are seeking innovative thinkers and creative problem solvers who are interested in making a contribution to improving ...

· Hi, we're Oscar. We're hiring a Senior Specialist, Coding Auditor to join our Payment Integrity. · 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 ki ...

The Role · Sr. Contract Compliance Auditors serve as lead auditors of an engagement and champion of the client's day-to-day relationship. They verify and process claims. They ensure audits are properly performed and build relationships with key client stakeholder(s). This team wo ...

Lloyd's/Delegated Authority Auditor · Pro IS, Inc has an exciting opportunity for an experienced Lloyd's/Delegated Authority Auditor to join our audit team. Candidate will undertake both underwriting and claims audits, ensuring high quality reports are generated that meet the cli ...

· Overview · Cotiviti Retail audits purchases and payments related to merchandise inventories. We develop and prioritize an audit program to ensure value negotiated is value delivered, recommending actionable process improvements that help our clients improve the way they do bus ...

This position is responsible for managing accounts receivable related to denied claims to ensure the financial viability of the WVU Medicine hospitals. · Accurately triage and route claims to work queues by maintaining a working knowledge of system hospital/clinic departments, pr ...

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

· It's an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances. · Job Summary: · The Coding and Compliance Auditor- Behavioral H ...

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. · Brown & Brown is seeking a Pharmacy Benefit Auditor to join our growing team · This role supports clients by leveraging our proprietary so ...

The Supervisor of Patient Financial Services is a frontline supervisory role responsible for ensuring the timely and accurate collection of cash resolving outstanding accounts receivable. · ...

· It's an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.  · Job Summary · The Clinical Auditor I performs detailed medica ...

· Hi, we're Oscar. We're hiring a Senior Analyst, SIU Coding Auditor 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 he ...

· Hi, we're Oscar. We're hiring a Senior Analyst, Special Investigations Unit Clinical Investigator to join our SIU. · 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 201 ...

· Overview · The Medical Director (MD) is a key member of the audit, quality assurance and client team. The Medical Director is responsible for representing the team on all audit and appeals decisions. The Medical Director is also responsible for analyzing, interpreting, and dev ...

THE ROLE · The Carbon Development Technical Director will provide senior technical leadership across the full carbon project lifecycle - from feasibility through validation, verification, and issuance - while supporting TREES' transition from VM0042 to VM0047. This role serves a ...

· Overview · This role is part of the training team for the Clinical Chart Validation team. This position is responsible for improving the technical effectiveness of our teams by planning, developing, and delivering technical training, mentoring, and assessment. The individual w ...

· Overview · This role is part of the training team for the Clinical Chart Validation team. This position is responsible for improving the technical effectiveness of our teams by planning, developing, and delivering technical training, mentoring, and assessment. The individual w ...