Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

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

Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Senior Health Claims Editor & Auditor in Seattle, WA vacancy
  • 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

    Northwest Administrators, Inc

    Mountlake Terrace, WA
    5 days ago
  • $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... 
    Claims
    Work at office

    Virginia Mason Franciscan Health

    Seattle, WA
    2 days ago
  • 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

    Kaiser Permanente

    Renton, WA
    3 days ago
  • Northwest Administrators, Inc. in Seattle seeks a Health & Welfare Claims Auditor to review the work of Health and Welfare Claims Processors, collaborating with auditors, vendors, account executives, supervisors and medical consultants. Responsibilities include internal... 
    Claims

    Northwest Administrators, Inc

    Seattle, WA
    1 day ago
  •  ...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... 
    Claims
    Work at office
    Remote work

    Direct Staffing Inc

    Seattle, WA
    4 days ago
  •  ...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... 
    Senior
    Claims

    Confidential

    Seattle, WA
    4 days ago
  • $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... 
    Claims
    Hourly pay
    Work at office
    Local area
    3 days per week

    Northwest Administrators, Inc

    Mountlake Terrace, WA
    5 days ago
  • 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... 
    Senior
    Claims

    Northwest Administrators, Inc

    Seattle, WA
    4 days ago
  • Northwest Administrators, Inc. is seeking a Claims Auditor to audit Health & Welfare claims and to design and deliver training for Claims Processors. The role involves collaborating with auditors, vendors, account executives, supervisors and medical consultants to ensure... 
    Claims
    Work at office

    Northwest Administrators, Inc.

    Seattle, WA
    5 days ago
  • Roswell Park Comprehensive Cancer Center in the United States is seeking a Senior Medical Biller to support patient accounts and ensure accurate claims processing. You will mentor teammates, review and submit claims, and collaborate with clinical staff to verify coding... 
    Senior
    Claims
    Full time

    Roswell Park Cancer Institute

    Seattle, WA
    4 days ago
  • Physicians Insurance A Mutual Company in Seattle seeks a Senior Claims Consultant to independently manage complex medical professional liability claims across multiple jurisdictions. You will evaluate exposure, reserve appropriately, manage litigation, and deliver clear... 
    Senior
    Claims

    Physicians Insurance A Mutual Company

    Seattle, WA
    5 days ago
  • $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

    Delta Dental of Washington

    Seattle, WA
    4 days ago
  •  ...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... 
    Senior
    Claims
    Permanent employment
    Work at office
    Remote work

    Trello

    Seattle, WA
    3 days ago
  • $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... 
    Senior
    Claims
    Seasonal work
    Local area

    Northwest Administrators, Inc

    Seattle, WA
    21 days ago
  • $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/... 
    Senior
    Claims
    Hourly pay
    Daily paid
    Seasonal work
    Remote work
    Work from home

    Sagility

    Seattle, WA
    5 days ago
  • $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... 
    Senior
    Claims
    Local area
    Visa sponsorship

    Deloitte

    Seattle, WA
    3 days ago
  • ** 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... 
    Senior
    Claims

    Kaiser Permanente

    Renton, WA
    1 day ago
  • $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@... 
    Senior
    Claims
    Full time
    Work experience placement
    Immediate start

    Anduril Industries

    Seattle, WA
    4 days ago
  • 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... 
    Senior
    Claims
    For contractors
    H1b
    Visa sponsorship
    Work visa
    Flexible hours

    Truveta

    Seattle, WA
    4 days ago
  • $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... 
    Senior
    Claims
    Remote job
    Hourly pay
    Minimum wage
    Full time
    Work experience placement
    Work at office
    Local area

    UnitedHealthcare

    Seattle, WA
    3 days ago
  • $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,... 
    Senior
    Claims
    Full time
    H1b
    Work at office

    PwC

    Seattle, WA
    18 hours ago
  • $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... 
    Senior
    Claims
    Hourly pay
    Live in
    Work at office
    Local area

    Accenture

    Seattle, WA
    1 day ago
  •  ...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... 
    Senior
    Claims
    Work experience placement
    Live in
    Work at office
    Local area

    Accenture

    Seattle, WA
    3 days ago
  • $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... 
    Senior
    Claims
    Minimum wage
    Full time
    Local area
    Shift work

    Pacific Medical Centers Corp

    Renton, WA
    5 days ago
  • 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... 
    Senior
    Claims
    Work at office

    Mindful Therapy Group

    Seattle, WA
    3 days ago
  • Mindful Support Services is seeking an experienced claim specialist to independently resolve complex insurance balances, denials, and claim-processing issues across commercial, Medicare, and Medicaid payers. The role requires 2+ years of hands-on A/R follow-up and denial... 
    Senior
    Claims
    Full time
    Work at office
    Monday to Friday

    Mindful Support Services

    Seattle, WA
    5 days ago
  • 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... 
    Senior
    Local area

    City Cast

    Seattle, WA
    1 day ago
  • $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... 
    Claims
    Hourly pay
    Full time
    Work at office
    Local area
    3 days per week

    Northwest Administrators, Inc

    Seattle, WA
    3 days ago
  •  ...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... 
    Claims
    Full time
    Temporary work
    Work at office

    Seattle Implant and Prosthetic Dentistry Edmonds

    Seattle, WA
    3 days ago
  • Blue Cross Blue Shield is seeking a Creative Writer to own the visual storytelling behind campaigns reaching audiences nationwide. The role requires 4+ years of storyboarding experience and a knack for transforming briefs into compelling visuals. You will craft layouts,...
    Senior

    Blue Cross and Blue Shield of Kansas Inc.

    Bellevue, WA
    1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Senior Health Claims Editor & Auditor. Be the first to apply!