Remote Specific Claims Auditor (Health Insurance)
HCC Service Company, Inc.
HCC Service Company, Inc. is seeking a Claims Investigator to assess liability and ensure accurate claims processing. This remote position requires strong medical knowledge, proficiency in interpreting insurance documents, and effective communication skills. You will be responsible for investigating claims, auditing documentation, and establishing reserves. Benefits include generous paid time off, 401(k) matching, health insurance, and a flexible work schedule. Ideal candidates possess strong organizational and analytical skills, with familiarity in Microsoft Office. #J-18808-Ljbffr
- ...supervision, investigates claims liability and determines the... ...a submitted claim for a specific individual. Accurately processes... ...employer plans of health coverage and excess insurance policy to individual claims... .... Casual dress. Location: Remote – Georgia The Tokio Marine...Remote workClaimsHealth InsuranceCasual workWork at officeFlexible hours
$85k - $90k
...TREND Health Partners is a tech-enabled payment integrity... ...highly valued health insurance, a 401(k) plan with... .... The Nurse Coder DRG Auditor’s primary... ...records and associated claim information to validate... ...Microsoft Office experience, specifically Excel Preferred Skills...Remote workClaimsHealth InsuranceWork at office$57k
...Job Description Pharmacy Claims Auditor CPhT Do you have a CPhT... ...discrepancies. Utilizing specific client instructions, federal... ...designed to support you: Health & Welfare Benefits:... ...employees including health insurance coverage, voluntary dental and...Remote workClaimsHealth InsuranceWork at officeLocal areaWork from homeFlexible hoursNight shift$97.8k
Employer Industry: Healthcare Insurance Why consider this job... ...100 company Flexible remote work environment with... ...inpatient hospital claims to ensure proper reimbursement... ...reviews/audits in health insurance and/or... ...position. Our role in this specific opportunity is to connect...Remote workClaimsHealth InsuranceImmediate startFlexible hours- ...Data Mining Auditor Codoxo is the premier... ...Auditor performs medical claim audits to identify... ...of audit specifications and development of... ...team environment ~ Remote Work Requirements:... ...Benefits for You Health, Dental, and Vision insurance with 100% employee...Remote workClaimsHealth InsuranceContract workWork experience placementWork at officeLocal areaWork from homeHome office
$68k - $88k
...Medical Review Auditor (Fraud Waste and Abuse... ...coding and health plan policies for... ...records and healthcare claims assessing the accuracy... ...$88,000 per year. Specific offers are... ...disability, and life insurance coverage, 401(k) savings... ...Auditor - Remote Remote: Full Time...Remote workClaimsHealth InsuranceHourly payFull timeContract workPart timeWork experience placementImmediate startWork from home$65.41k - $85.85k
...Senior Specialist, Coding Auditor to join our Payment... ...Oscar is the first health insurance company built around... ...resolution in the Oscar claim environment. You will... ...Location: This is a remote position, open to... ...in health insurance specifically with claims processing...Remote workClaimsHealth InsuranceFull timeWork experience placementWork from homeHome office- ...for an Outpatient Payment Integrity Coder Auditor in New York City. In this role, you will audit outpatient medical claims for coding accuracy and compliance with CMS... ...salary options and comprehensive benefits including health insurance and a 401(k) plan. #J-18808-LjbffrRemote workClaimsHealth Insurance
- ...seeking a Senior Inpatient Auditor to enhance our Payment Integrity... ...at maximizing accuracy in claims. Ideal candidates will have... ...coding knowledge. This fully remote position supports a dynamic... ...impressive benefits, including health insurance, a 401(k) plan, and generous...Remote jobClaimsHealth Insurance
- ...A health insurance company is seeking a Senior Specialist, Coding Auditor to join their Payment Integrity team. This remote position involves supporting issue resolution, ensuring claims repayment quality, and assisting in root cause analysis. Candidates should have 1...Remote workClaimsHealth Insurance
$40.3k - $88.8k
Help us insure it Tokio Marine HCC is a global industry-leading specialty... ...supervision, investigates claims liability and determine the... ...liability on a submitted claim for a specific individual. Accurately... ...and interpret employer plans of health coverage and excess insurance...ClaimsHealth InsuranceFull timeWork experience placementWork at officeLocal area- ...Remote Medical Coding Auditor (CPC, CCS-P, or CPMA) Crossroads Treatment... ...audits of claims and patient records... ...conflicting/ambiguous or non-specific documentation. Provide... ...of Mental Health / Opioid Addiction medical... ...Dental, and Vision Insurance PTO Variety of 401K...Remote workClaimsHealth InsuranceTemporary workMonday to FridayShift work
- A leading health insurance company is seeking an Inpatient Medical Coding Auditor to work remotely. This role involves reviewing inpatient hospital claims and ensuring accurate coding and reimbursement. Candidates should hold an RHIA, RHIT, or CCS certification with substantial...Remote jobClaimsHealth Insurance
- ...is seeking a Quality Assurance Auditor to conduct audits on medical, dental, and vision claims. The role requires a Bachelor'... ...This position offers a fully remote work environment with a competitive... ...benefits package including health insurance, paid time off, and a...Remote jobClaimsHealth InsuranceWork experience placement
- Elevance Health is seeking a Clinical Provider Auditor I responsible for identifying potential fraud and abuse risks... ...include examining claims for compliance, analyzing medical... ...increases, paid time off, and health insurance. #J-18808-Ljbffr Elevance HealthRemote jobClaimsHealth InsuranceFull time
$58k - $114.9k
...Remote MSDRG Auditor Category: Analytics and Emerging Digital... ...to beneficiaries of health plans, including... ...underpayments) on paid claims on behalf of the client... ...education are provided specific to audit processes,... ...compensation Comprehensive insurance options Matching...Remote workClaimsHealth InsuranceFull timeContract workWork at officeLocal area$70k - $85k
...and efficiency to health plans. Deployed by... ...state, and payer-specific regulations and guidelines... ...* Ability to work remotely from a home office... ...for all provider/claim types.* Coding for... ...FSA options, life insurance coverage, 401(k)... ...**Medical Coding Auditor-Inpatient** #J-188...Remote workClaimsHealth InsuranceFor contractorsWork at officeWork from homeHome officeShift work$90k - $115k
...Senior Field Premium Auditor Be here. Be great.... ...Working for a leader in the insurance industry means... ...individual will work fully remote in this territory with... ...metropolitan areas, specifically in Los Angeles County.... ...exposures. Reviews claim activity on policies to...Remote workClaimsHealth InsuranceFull timePart timeSeasonal workWork at officeLocal area$51.11k
...authorize reimbursement of specific medical stop loss claims. Effectively... ...and will be fully remote or hybrid if based... ...auditing of claims auditors, and training of claims... .... ~ Subsidized health plans, dental and vision... ...match ~ Life Insurance ~ Paid Time Off...Remote workClaimsHealth InsuranceFull timeContract workFor contractorsWork experience placementWork at officeLocal areaMonday to Friday- ...: 401(k) 401(k) matching Dental insurance Health insurance Vision insurance Wellness... ...resources Summary: A Hospital Claims Auditor is responsible for the overall quality... ...independently according to departmental standards. This is a remote position....Remote workClaimsHealth InsuranceContract work
- ...its mission to inspire health and make it easy.AZ Blue... ...variety of health insurance products and services to... ...classified as hybrid, onsite or remote. While the majority of... ...to: Customer Service, Claims Processors, and... ...experience as an RN analyst or auditor in Utilization Review,...Remote workClaimsHealth InsuranceFull timeWork experience placement1 day per week
- ...Management Act (FISMA) As an Auditor, your work will include the... .... Additionally, if you claim to meet the basic requirements... ...many benefits including: Health insurance (choose from a wide range of... ...hiring agency for more information on the specific benefits offered.Remote workClaimsHealth InsuranceFull timeContract workPart timeFor contractorsWork at officeRelocationFlexible hours
- ...Claims Auditor- Remote American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Institutional... ...Perks include: ~ Affordable Medical/Dental/Vision insurance options ~ Generous paid time-off program and paid...Remote workClaimsHealth InsuranceFull timeTemporary workWork at officeLocal area2 days per week3 days per week
- ...Claims Auditor Review, analyze, investigate, and authorize payment of... ...and answer phone calls from insureds, beneficiaries, banks, doctor... .... Refer cases of undisclosed health history to legal for further... ...location, which may be office or remote based, or a combination...Remote workClaimsHealth InsuranceFull timeContract workWork at officeHome officeMonday to Friday
- ...fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the... ...as hybrid, onsite or remote. While the majority of our employees... ...limited to: Customer Service, Claims Processors, and Correspondence...Remote workClaimsHealth InsuranceFull timeWork experience placement1 day per week
$70k - $85k
...all. Medical Coding Auditor - Inpatient (Remote) Location: Remote. Full... ..., state, and payer‑specific regulations and guidelines... ...and electronic health record (EHR) systems.... ...review for all provider/claim types. Experience... ...coverage options, life insurance coverage, 401(k)...Remote workClaimsHealth InsuranceFull timeWork at officeHome office- ...Vālenz ® Health is the platform to simplify healthcare – the destination... ...As a Certified Medical Claims Auditor (Clinical Bill Review... ...validation. Knowledge of Health Insurance, Medicare guidelines and... ...’ll Work: This is a fully remote position, and we’ll provide...Remote workClaimsHealth InsuranceImmediate startFlexible hours
$17 - $20 per hour
...Medical Billing Auditor-Aleca Home Health As our company expands, we are actively... ...fraudulent activity and claims are submitted in a timely... ...all primary and secondary insurance verifications and re-verifications... ...means according to payer specific rules. Responsible for...Remote jobClaimsHealth InsuranceWork at officeWork from homeFlexible hours$26.44 - $36.06 per hour
...consumer outcomes. Health systems, hospitals... ...The Inpatient Coding Auditor will be responsible... ...initiated before the claim is rebilled to the insurance. Conduct analysis... ...tion #LI-CM1 #LI-Remote The estimated pay... ...but not limited to specific skills or certifications...Remote workClaimsHealth InsuranceHourly payPermanent employmentWork at officeLocal areaImmediate startFlexible hoursDay shift- ...physicians and staff are partners in quality health care from a medical center that is... ...salaries and health and dental insurance we take pride in hiring the best, most... ...will you be doing in this role? The Claims Auditor is responsible for ensuring the accuracy...Remote jobClaimsHealth InsuranceWork experience placement
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