Senior Claims Auditor - Kennesaw, GA

We are seeking an experienced Senior Claims Auditor to join our team.The ideal candidate will have extensive knowledge of insurance claims processes, auditing standards, and regulatory requirements. · ...

We are seeking an experienced and detail-oriented Senior Accident and Health Claims Auditor to join our team. · The ideal candidate will have extensive knowledge of insurance claims processes auditing standards regulatory requirements related to accident health insurance The Seni ...

Job summaryCloses claim files against Claims Handling Guidelines or Best Practices to ensure company procedures are followed. · This will include claims handled by our Third Party Administrators (TPAs) as well as claims handled by our internal claims staff. · Perform audits throu ...

This role involves reviewing claim files to ensure compliance with company procedures. · ...

We are seeking a Claims Auditor to review and evaluate closed and open claim files against our Claims Handling Guidelines or Best Practices. The ideal candidate will have experience with the General and Auto Liability lines of business. · This position is responsible for reviewin ...

The IT Security Application Analyst safeguards TMHCC's enterprise applications by implementing and maintaining robust security controls and compliance measures. · ...

The IT Security Application Analyst safeguards TMHCC's enterprise applications by implementing and maintaining robust security controls and compliance measures. · ...

The IT Security Application Analyst safeguards TMHCC's enterprise applications by implementing and maintaining robust security controls and compliance measures. This role proactively identifies and mitigates vulnerabilities, · Partner with application development teams to embed s ...

The IT Security Application Analyst safeguards TMHCC's enterprise applications by implementing and maintaining robust security controls and compliance measures. This role proactively identifies and mitigates vulnerabilities, manages access governance, and collaborates with IT and ...

The IT Security Application Analyst safeguards TMHCC's enterprise applications by implementing and maintaining robust security controls and compliance measures. · This role proactively identifies and mitigates vulnerabilities, manages access governance, and collaborates with IT a ...

The Billing and Coding Specialist accelerates revenue capture by ensuring clean claims submission, preventing denials before they occur, and proactively identifying coding issues that cause delays. · ...

Billing and coding specialist drive revenue capture by ensuring clean claims submission prevent denials before they occur proactively identify coding issues that cause delays.Position Impact · The billing and coding specialist accelerates revenue capture by ensuring clean claims ...

The Assistant Vice President of Customer Service is responsible for managing all aspects of Wellstar Health System Customer Service Call Center and Revenue Cycle Centralized Operations Support Unit. · ...

Conducts clinical coding audits as defined by client contracts for audit service and internal quality assessment according to operational and client guidelines. · Coordinate and oversee the auditor onboarding process for assigned clients. · Manage the performance of all quality f ...

The DRG Validation Auditor is a member of the CGI Healthcare Compliance team responsible for reviewing medical records to determine accuracy of coding and reimbursement. · Reviews inpatient medical records to validate assignment and sequencing of ICD-10 diagnosis codes. · Provide ...

A leading Fortune-level organization seeks a Senior Risk Manager to oversee company-owned captive insurance entities while advancing analytics, reporting and RMIS capabilities. · Oversee day-to-day operations of company-owned captive insurance entities · Maintain captive governan ...

This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. · Examines claims for compliance with relevant billing and processing guidelines and identifies ...

The Clinical Provider Auditor Sr is responsible for identifying issues and/or entities that may pose potential risk associated with fraud and abuse. · This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flex ...

+h2>Job summary · Automotive OEMs rely on DEKRA to ensure their dealership networks follow warranty policy submit accurate documentation maintain integrity of warranty claims as retail warranty auditor you will conduct in-depth audits of dealership repair orders identify non-comp ...

We are looking for a Certified Outpatient Surgical Auditor III to join our team at EXL Health. As a Remote Certified Outpatient Surgical Auditor, you will bring your expert knowledge of outpatient coding, CPT coding guidelines, and reimbursement methodologies to audit outpatient ...