Senior Health Claims Editor & Auditor
Accenture PLC
Accenture PLC in the United States is seeking a Health Operations Senior Analyst to ensure accurate claims editing and auditing in line with customer policies. You will research policies, investigate complex claims, and collaborate with customers and internal teams to implement solutions. Ideal candidates have CPC certification, experience with claims processing systems, and strong analytical skills. The role involves multiple priorities, documentation updates, and contributing to process #J-18808-Ljbffr Accenture PLC
- A leading third-party administration firm in Mountlake Terrace seeks a Claims Auditor for its Health & Welfare group. The ideal candidate will have experience in medical and dental claims processing and will conduct internal audits and training for claims processors. This...Claims
$32.32 - $53.32 per hour
...Summary and Responsibilities As a Coding Auditor, you will be a central figure ensuring accurate... ...by proactively resolving medical coding claim defects before billing. You will play a... ...2) years experience in any capacity in a health care environment or medical office...ClaimsWork at office- Kaiser Permanente in Renton, Washington seeks a Documentation Quality Auditor IV. The role focuses on audits, coding/documentation quality, and regulatory compliance to support accurate coding and reimbursement. You will perform trend analyses, prepare audit reports, and...Senior
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- ...coordinate, conduct and report on post payment claims audits and performs related special... ...Outlook, internet search). •Familiarity with health care documentation systems. •Strong... ...the competencies listed above: •Nurse Auditor would have a/an Associate or Bachelor’s...ClaimsWork at officeRemote work
- ...Senior Vice President, Liability Operational Strategy About the Company Renowned provider... ...Hospitals & Clinics Life and Health Managed Care Medical Testing & Clinical... ...~ ancillary benefit management ~ claims management ~ provider network ~ pharmacy...SeniorClaims
$30.7 - $41.54 per hour
Claims Auditor - Health & Welfare (Hybrid) Apply for the Claims Auditor - Health & Welfare (Hybrid) role at Northwest Administrators, Inc . Are you a great communicator with strong writing skills? Are you experienced in medical/dental claims processing? Do you enjoy working...ClaimsHourly payWork at officeLocal area3 days per week- Northwest Administrators, Inc. is seeking a Senior Manager, Health & Welfare to lead department operations and develop the leaders and teams delivering accurate, timely service for clients and participants. You will combine hands-on leadership with process management to...SeniorClaims
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$87.1k - $136.8k
...Senior IT Internal AuditorWashington Dental Service and its affiliates, including Arcora... ...everyone deserves good oral and overall health, with no one left behind. We succeed because... ...with confidence? As a Senior IT Internal Auditor at Washington Dental Service, you will...Senior- ...Senior Principal Outbound Product Manager, Service Collection Product Management | Seattle... .... Establish a trusted view of play health across pipeline signals, customer... ...required. Make sure customer and competitive claims are evidence-backed, current, and usable...SeniorClaimsPermanent employmentWork at officeRemote work
$11,220 per month
...you! What you'll be doing... The Senior Manager leads department operations and develops... ..., and team members. Oversee claims operations, balancing staffing and workloads... ...in the country, along with numerous large health and welfare plans. As part of our team, you...SeniorClaimsSeasonal workLocal area$37 per hour
Senior Care Specialist (Registered Nurse) Work From Home Job title Senior Care Specialist... ..., provider solutions, payment integrity, claims cost containment, and analytics. Sagility... ...countries. What You Will Do Conduct telephonic health assessments for Medicare, Medicaid, and/...SeniorClaimsHourly payDaily paidSeasonal workRemote workWork from home$171.6k - $338.3k
Position Summary Are you an experienced health and welfare benefits consultant ready to lead complex client work? As a Senior Manager, Health Benefits Consulting, you... ...self-insured financial projections, claims, and utilization data to support rate-setting...SeniorClaimsLocal areaVisa sponsorship- ** SENIOR ADVISOR - QUALITY AND SAFETY OPERATIONS - OUTSTANDING OPPORTUNITY! ** RN - QUALITY... ...) QUALITY: HOSPITAL, AMBULATORY, HEALTH PLAN, REGULATORY Job Summary: In addition... ...managing the process flow of investigations and claims for potential errors, red flags, and...SeniorClaims
$191k - $253k
...instrumentation, and CLI tooling for topology inspection, link health, and certificate statusDebug complex networking issues from packet... ...: Should you encounter any questionable or fraudulent outreach claiming to be from Anduril, please report it immediately to contact@...SeniorClaimsFull timeWork experience placementImmediate start- Senior Privacy Biostatistician - Risk AnalyticsTruveta is the world’s first health provider led data platform with a vision of Saving Lives with Data. Our mission is to enable... ...notes) in addition to structured EHR/claims data.Demonstrated ability to reason across the...SeniorClaimsFor contractorsH1bVisa sponsorshipWork visaFlexible hours
$28.27 - $50.48 per hour
Senior Provider Relations Representative - Remote within WA, MO, or NC Join to apply for... ...UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities... ...all related aspects of issue resolution Claims systems utilization, claims-related...SeniorClaimsRemote jobHourly payMinimum wageFull timeWork experience placementWork at officeLocal area$124k - $280k
.../ Operations Consultant you will advise health payer clients on modernizing operations and... ..., within our Advisory practice. As a Senior Manager you will lead large projects, shape... ...operations, with focus areas that may include claims processing, reimbursement models,...SeniorClaimsFull timeH1bWork at office$26.39 - $63.13 per hour
The Health Operations Senior Analyst supports the accuracy and effectiveness of healthcare claims editing and auditing processes. This role reviews edit and audit groupings to help ensure the appropriate application of codes, criteria, modifiers, and claim dispositions...SeniorClaimsHourly payLive inWork at officeLocal area- ...proven delivery leader who combines strong health payer industry knowledge, technology... ...and building trusted relationships with senior client executives.As an Accenture Senior... ...knowledge of core payer processes such as claims, enrollment and eligibility, benefits, and...SeniorClaimsWork experience placementLive inWork at officeLocal area
$25.61 - $39.88 per hour
Description Senior Claims Specialist - USFHP - Renton, WA Schedule- Full Time/ Hybrid Adjudicates all claims submitted by outside purchased... ...resource for at least one major area of expertise (EDI, Health Plan Repricing, Health Plus Repricing, or HPR). Providence caregivers...SeniorClaimsMinimum wageFull timeLocal areaShift work- Mindful Therapy Group is seeking an experienced claim specialist to independently resolve complex insurance balances, denials, and claim-processing issues across commercial, Medicare, and Medicaid payers in our Goodyear, AZ office. The role requires at least two years of...SeniorClaimsWork at office
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- City Cast DC is seeking an experienced editor to lead and support a growing team of local reporters across multiple beats and platforms. You will monitor the news, guide coverage strategy, and provide daily feedback to reporters to help grow their skills. You will collaborate...SeniorLocal area
$30.7 - $41.54 per hour
...abilities and deep, hands-on experience processing medical claims? Do you enjoy applying your claims expertise to work one-... ...? If so, you may be the ideal candidate for our Claims Auditor position within our Health & Welfare group. What you'll be doing... As a Health...ClaimsHourly payFull timeWork at officeLocal area3 days per week- ...with dental office experience to cover an office manager's maternity leave. The role includes greeting patients, handling insurance claims/payments, and managing schedules and patient flow. The ideal candidate will have prior dental office experience and be available to...ClaimsFull timeTemporary workWork at office
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