Medical Claims Auditor - Remote - USA

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. · Centivo is seeking a Claims Auditor who wi ...

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 ...

The Senior Stop Loss Claims Auditor conducts detailed audits of high-complexity claims files to ensure compliance. · Risk Strategies offers comprehensive suite of benefits including medical dental vision disability life insurance retirement savings paid time off holidays base pay ...

The Senior Stop Loss Claims Auditor conducts detailed audits of high-complexity claims files to ensure compliance, accuracy, and adherence to company procedures and regulatory requirements. · Your Impact · Perform in-depth claims file reviews for accuracy and compliance. · Docume ...

· 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 ...

Role Overview · The Production Coordinator supports operational workflows within the Payment Integrity (PI) department. This role is responsible for coordinating audit production, tracking claim reviews, managing workflow queues, and ensuring accuracy, timeliness, and compliance ...

The Contract Management Auditor is Responsible for reviewing, analyzing and resolving discrepancies in claim payments as determined by TruBridge Contract Management software.  The Contract Management Auditor works closely with team members and the client to ensure necessary and u ...

· 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 ...

· 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 ...

· 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 ...

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 ...

· 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 ...

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 ...

· Overview · A Payment Accuracy, Data Mining (DM) Specialist, is a member of the greater Data Mining Business Unit (BU). Cotiviti's Data Mining team configures custom claim reviews to investigate untapped billing compliance issues specific to regulations and contracted policies ...

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. · ...

Coordinates and tracks audit activities for the claims audit team. Ensures audit schedules, documentation, and reporting are completed accurately and on time. · Your Impact · Manage audit calendars and coordinate audit logistics. · Collect, compile, and distribute audit results. ...