Senior Stop Loss Claims Auditor - Remote - US

We are seeking a Claims Auditor who will be responsible for conducting pre-payment, post-payment and claims adjudication audits across multiple employer groups and product lines. The role plays a key part in maintaining the integrity of our claims operations by supporting all asp ...

We have an exciting opportunity for a Contract Claims Auditor to join our audit team as a consultant. This role would be supporting one of our clients and apply your expertise specifically across lender-focused insurance products. · ResponsibilitiesReview hazard placement, docume ...

+Job summary · 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. · +Oversight and management of ...

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.The successful candidate will have strong understanding of claims handling insurance regulati ...

+p>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. ...

The Contract Management Auditor reviews claim payments and discrepancies in TruBridge Contract Management software. They work with team members and clients to ensure up-to-date contract information. · Researches and identifies claim reimbursement discrepancies. · Works with payor ...

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 healthcare and ...

We are seeking a Royalty Auditor to join our team. · Adeptus is an independent, full-service accounting and advisory firm specializing in accounting and consulting services for businesses and individuals. Join a rapidly growing organization with a strategic vision and dynamic pla ...

We are seeking an experienced Lloyd's/Delegated Authority Auditor. The role involves undertaking underwriting and claims audits to ensure high-quality reports meet client requirements. · Undertake underwriting, transactional, and claims audits in accordance with client scope requ ...

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 ...

We are seeking a Coding and Compliance Auditor- Behavioral Health to perform complex review and adjustments of medical claims to ensure accuracy in claim payments. · Full-time remote work · Competitive salaries · Excellent benefits · ...

Coordinates and tracks audit activities for the claims audit team Ensures audit schedules documentation and reporting are completed accurately and on time. · High school diploma or Associate's degree; Bachelor's preferred. · 2+ years of administrative or audit coordination experi ...

We empower people to protect what matters most in a world where climate risks leave too many behind. Our approach has fostered amazing growth. · Preparing statutory financial statements in accordance with SAP, GAAP, and state insurance regulations ...

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. · ...

The Clinical Auditor I performs detailed medical record audit review and analysis of the health plan's outpatient, professional and ancillary claims to ensure that all reimbursement to the provider is paid accurately and ensuring adherence to regulations, internal policies and be ...

This position is responsible for providing system configuration for managed care payment systems and other core vendor developed systems at an intermediate level. · Configure and perform daily software maintenance to support efficient administration and data integrity of multiple ...

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. · ...

The Senior Tax Consultant will support Tax Managers in providing fuel tax advisory/consulting services. This includes conducting fuel & excise tax return preparations and research on current Federal and State/Provincial fuel & excise tax legislation. · Research and provide adviso ...

+Job summaryThis 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. · +Responsibilitie ...

When you join Accurate Background,you're an integral part of making every hire the start of a success story.Your contributions will help us fulfill our mission of advancing the background screening experience through visibility and insights,powering our clients to make smarter,ba ...