Claims auditor jobs in United States

We are seeking an experienced Claims Auditor / Claims Processor to support our Claims Department. This role requires strong medical claims processing experience and knowledge of HMO/IPA operations, Medicare, and Medi-Cal guidelines. · Evaluate patient protected health information ...

The Claims Auditor will be responsible for the accurate review and auditing of claims that are adjudicated by the system and the Claims Examiners. · At AltaMed, your passion for helping others isn't just welcomed – it's nurtured, celebrated, and promoted, allowing you to grow whi ...

The Claims Auditor assists in the Claims Department by analyzing procedures,policies and reports; ensures appropriate payment of claims and maintenance of the claims system as necessary. · Safeguards and preserves the confidentiality of patient's protected health information in a ...

The Specialty Health Plans Auditor III, · Claims is responsible all aspects of planning, · execution, reporting, and corrective action · plans monitoring of claims processing compliance · for specialty health plans and vendors.Performs annual claims audits for Specialty Health Pl ...

The OpportunityHealthEZ is seeking a Healthcare Claims Auditor who is responsible for creating and maintaining audit procedures, · auditing internal company departments, claims, payments, and statements. · ...

Job summary · HealthEZ is seeking a Healthcare Claims Auditor who is responsible for creating and maintaining audit procedures, · auditing internal company departments, claims, payments and statements.Conduct Claims and Statement auditsAudit a percentage of third-party administra ...

The Claims Auditor assists in the Claims Department by analyzing procedures, policies and reports; ensures appropriate payment of claims and maintenance of the claims system as necessary. Assists the Claims Director in training staff. Coordinates generation and review of audit re ...

The Specialty Health Plans Auditor III, Claims is responsible all aspects of planning, execution, reporting. · Performs annual claims audits for Specialty Health Plans and vendors. · ...

We are seeking a Claims Auditor to support provider enrollment and revalidation for Medicaid. They will review applications, validate data, navigate state databases, · Review paper applications · Validate data entered into tracking systems · ...

Review claims files against company procedures to ensure compliance. ...

We are seeking a Claims Auditor for our Health & Welfare group. · As a Health and Welfare Claims Auditor the main focus will be to review the work completed by the Health and Welfare Medical Dental Vision Time Loss and Life Claims Processors. · This position requires collaboratio ...

Claims Auditor/Claims Processor role ideal for professionals with strong medical claims processing experience and knowledge of HMO/IPA operations, Medicare, and Medi-Cal guidelines. · ...

The Claims Auditor assists in the Claims Department by analyzing procedures, policies and reports; ensures appropriate payment of claims and maintenance of the claims system as necessary. · ...

We are seeking a Claims Auditor to support provider enrollment and revalidation for Medicaid. · Review paper applications and documentation to ensure completeness, accuracy, and compliance with Federal & State requirements. · Navigate and research using databases such as PECOS (M ...

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 are seeking a Claims Auditor to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all v ...

HealthEZ is seeking a Healthcare Claims Auditor who is responsible for creating and maintaining audit procedures. · ...

The Claims Auditor is responsible for performing payment, procedural accuracy, turnaround time, compliance and operational audits as directed by management. · ...

Starr Insurance Companies is a leading insurance and investment organization, providing commercial property and casualty insurance, including travel and accident coverage, to almost every imaginable business and industry in virtually every part of the world. · Cornelius Vander St ...

The claim department auditor will be responsible for coordinating and completing audits as well as compiling and reporting results and trends accurately, appropriately, and timely. · Logging/Tracking all Claims/Tasks to be audited · Audit for accuracy as well as workflow complia ...