Impactful Healthcare Claims Auditor
Florida Community Care
Florida Community Care, LLC. is seeking a Claims Auditor in Miami, FL. This full-time position involves auditing healthcare claims for accuracy and compliance, requiring a Bachelor’s degree in Health Administration or a related field, and at least 2 years of relevant experience. The role includes identifying discrepancies, preparing audit reports, and collaborating with teams to enhance processes. Preferred qualifications include a Master’s degree and relevant certifications. Join us to ensure the integrity of healthcare claims operations. #J-18808-Ljbffr
$57k
...noticed and valued every day. Pharmacy Claims Auditor CPhT Do you have a CPhT certification?... ...depth pharmacy audits on behalf of our healthcare payer clients. As a Pharmacy Claims Auditor... ...and professionally. Make a meaningful impact with our clients, in our communities,...ClaimsWork at officeLocal areaWork from homeFlexible hoursNight shift- ...A leading service provider in Miami, FL is seeking a Pharmacy Claims Auditor CPhT to ensure accuracy in pharmacy claims. This role involves... ...pharmacy experience and are proficient with Microsoft Office. Join a diverse organization making an impact daily. #J-18808-Ljbffr...ClaimsWork at officeRemote work
$80.52k - $107.09k
...is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 29... ...member plays a part in making a positive impact - because when it comes to caring for people... ...day. Description The Nurse Auditor is an expert clinician in the related specialty...SuggestedWork at office- A healthcare organization is seeking a remote Medical Billing and Coding Specialist. The ideal... ...reviewing medical records, submitting claims, and resolving billing issues. This... ...flexibility of working from home while positively impacting the healthcare industry. #J-18808-LjbffrClaimsRemote work
$80k - $150k
...Contact Government Services, LLC in Miami is looking for a Senior Auditor to assist in medical claims data analysis and financial investigations. The role involves analyzing complex financial records, conducting forensic investigations, and reporting findings to legal...ClaimsFull time$90k - $100k
...mental health, and autism care fields of healthcare services. We have extensive industry... ...wrongfully denied and delayed insurance claims through the insurance carrier’s internal... ...of a team where your work drives lasting impact and your career reaches new heights. ICBD...ClaimsWork at officeFlexible hours- ...the comfort of their own home, while still making a positive impact in the healthcare industry. As a remote Medical Billing and Coding... ...assigning appropriate diagnosis and procedure codes Submitting claims to insurance companies for reimbursement Resolving any...ClaimsRemote work
- ...Job Description Job Description We are seeking a Claims Auditor to join our team at Independent Living Systems (ILS). ILS, along with... ...health and reputation. By collaborating with claims processors, healthcare providers, and compliance teams, the auditor helps to...ClaimsWork at office
$80k - $150k
...Senior Auditor Employment Type: Full Time, Mid-level Department: Financial Services CGS... ...district legal staff by conducting medical claims data analysis, forensic investigations,... ...related party transactions. Analyze healthcare claims and other data. Create financial...ClaimsFull timeFlexible hours- ...Auditor Employment Type: Full-Time, Mid-Level Department: Financial CGS is seeking a highly skilled Auditor to provide general... ...volume of data such as bank records, financial records, healthcare claims, tax records, correspondence, policies, other documentary evidence...ClaimsFull timeWork experience placementInterim roleWork at officeLocal areaFlexible hours
- ...Larkin Health System is an integrated healthcare delivery system accredited by the Joint... ...Analyst is responsible for reviewing denial claims, submitting reconsiderations or appeals.... .... Identifies trends or patterns that impact payment optimization, and collaborates with...Claims
- ...Biller And Collector Larkin Health System is an integrated healthcare delivery system accredited by the Joint Commission with locations... ...and accuracy submission of hospital and/or physician medical claims for forensic accounts. Ensuring timely reimbursement of claims,...ClaimsWork at office
- Myers and Stauffer LC, based in Miami, is looking for a Compliance Specialist to evaluate health plan provider networks through onsite visits and telephonic surveys. This role offers regular local travel within the Miami-Dade area along with the flexibility to work remotely...Local areaRemote work
- ...Our customer provides inventory services to the healthcare delivery industry. They audit inventories of medical, surgical, and pharmaceutical... ...requirements to include inoculations and periodic testing. Auditors will work in warehouses, storerooms, clean rooms, and sterile...
- ...Larkin Health System is an integrated healthcare delivery system accredited by the Joint... ...Identify denial trends, root cause and A/R impact. Seek resolution to problematic accounts... ...carrier's timely filing deadlines, claims submissions processes, and appeals processes...ClaimsWork at office
$91.13k - $118.47k
...is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 29... ...member plays a part in making a positive impact - because when it comes to caring for people... ...planning issues, retrospective claims reviews, report generation and state and...Claims- ...Registered Nurse Contractors Job Family: Healthcare Operations Company Description EVERSANA™... ...I own every client experience and its impact on results. Take Action I am empowered and... ...e-mails, or even text messages claiming to be a legitimate company. Some of these...ClaimsDaily paidContract workFor contractorsLocal area
- ...resume to ensure that it supports your responses to these questions. Please review Resume Tips. VETERANS DOCUMENTATION: If you are claiming veteran's preference, you must submit a copy of your DD-214 showing type of separation and character of service (e.g. DD-214...ClaimsFull timePart timeWork experience placementWork at officeRelocationTrial periodMonday to FridayNight shift
- ...to work at a dynamic worksite and make an impact on employee health, wellness, and safety!... ...Workers' Compensation cases through claim capture and follow-up Collaborate with client... ...Professional Rescuer. Basic Life Support for Healthcare Providers or equivalent. Certifications...ClaimsReliefLocal areaImmediate start
- ...telephonically for discharge planning. How you will make an impact: Ensures member access to services appropriate... .... Assists in problem solving with providers, claims or service issues. Ensure compliance with healthcare regulations and monitor adherence to contractual...ClaimsFull timeWork at officeImmediate startFlexible hoursDay shift
- ...$3mil/aggregate) Current AHA BLS for Healthcare Providers certification Completion of... ...I own every client experience and its impact on results. Take Action I am empowered... ...unsolicited e-mails, or even text messages claiming to be a legitimate company. Some of...ClaimsDaily paidContract workLocal area
- ...Representative, you'll help members understand their healthcare benefits, access care, and feel... ...questions about benefits, eligibility, claims, and enrollment Resolve most... ...Enjoy helping people and making a real impact Like a steady, structured workday with...ClaimsFull timeWork experience placementWork at office
$60k - $70k
...individuals to help us make a lasting, positive impact. Position Snapshot As an... ...go-live checklist; target time-to-first-claim and time-to-first-payment goals Be the... ...Minimum 1-2 years of experience in the healthcare industry Ability to work independently...ClaimsMonday to Friday$16.76 per hour
...MacArthur Genius Fellows. A Carnegie R1 institution, FIU drives impactful research in environmental resilience, health and technology and... ...workflows, including patient insurance verification and claims follow-ups. Ensures accuracy in billing codes and collaborates...ClaimsHourly payDaily paidTemporary workFor contractorsWork at officeMonday to Friday- ...throughout their assigned areas. This high-impact role serves as a key liaison between... ...our providers thrive in today's evolving healthcare landscape. Essential Duties and Responsibilities... ...to resolve issues related to claims, eligibility, utilization, quality metrics...Claims
- ...Claims Team Lead VUMI® (VIP Universal Medical Insurance Group) is an international health insurance company committed to providing premier medical insurance products and VIP healthcare services to individuals and corporations worldwide. With operational offices in Panama...ClaimsTemporary workWork at officeRemote workWorldwide
- ...As a Nurse Supervisor Critical Care, this healthcare organization offers the momentum,... ...delivering the ideal scale for meaningful impact; as a Nurse Coordinator Intensive Care Unit... ...conversation—spark your ICU leadership journey, claim your interview, and turn potential into...ClaimsRemote workShift workWeekend work
$79.46k - $124.87k
...discharge planning. How you will make an impact: Ensures member access to services... ...in problem solving with providers, claims or service issues. Assists with development... ...lives and communities - and making healthcare simpler. We are a Fortune 25 company with...ClaimsFull timeTemporary workWork experience placementLocal areaAfternoon shift1 day per week- ...departments—including Provider Relations, Claims, and Case Management—as well as external... ...or compliance risks that may impact a provider’s eligibility or ability to render... ...local travel Fast-paced, deadline-driven healthcare environment Equal Opportunity Employer...ClaimsWork at officeLocal area
- ...important thing in life, and the American healthcare system is completely broken - poor... ...resolving patient billing tickets, managing claim workflows, and building and optimizing RCM... ...Product teams. The work you do directly impacts our patients (ensuring billing is never...ClaimsFull timeRemote work
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