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. · ...

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 ...

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 ...

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

Claims Auditor at Starr Insurance Companies. · This position involves reviewing and evaluating closed and open claim files to ensure compliance with company procedures. · Key responsibilities include performing audits through claim systems, conducting on-site visits, preparing au ...

This role enables associates to work virtually full-time with maximum flexibility and autonomy. · Performs audits of high dollar claimsEnsures claim payment accuracy by verifying various aspects of the claim including eligibility, · pre-authorization and medical necessity · ...

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 ...

Tokio Marine HCC (TMHCC) brings 50 years of service to the specialty insurance industry, today offering over 100 products to commercial customers in 180 countries around the world.  Organic growth and over 60 successful acquisitions have grown our 2022 Gross Written Premium (GWP) ...

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. · ...

At Wellstar, we value your contributions and ideas. Our mission is to enhance the health and well-being of every person we serve. · Work Details · Night shift (36 hours per pay period) · About the Facility · Learn more about Wellstar Kennestone Hospital, including our teams, cult ...

At Wellstar, we strive to enhance the health and well-being of every person we serve. We're dedicated to making a difference in the healthcare industry and people's lives. · Job Summary: · The Licensed Practical Nurse (LPN) works under the direction of a Registered Nurse or Manag ...

IKS Health is seeking to hire a Facility Outpatient Auditor.  · About IKS:    · At IKS Health, we are committed to revolutionizing healthcare through innovative technology that enhances patient communication and clinical efficiency. Our culture is rooted in collaboration, compass ...

Remote:  Medical Profee Audit & Education Specialist · IKS Health is seeking to hire a Profee Audit & Education Specialist · About IKS:  · Job Summary:  · Conducts clinical coding audits as defined by client contracts for audit service and internal quality assessment according to ...

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 ...

The DRG Validation Auditor is a member of the CGI Healthcare Compliance team responsible for reviewing medical records to determine the accuracy of coding and reimbursement for clinical services rendered.The review process may result in changes to payment for previously-rendered ...