Healthcare Claims Quality Assurance Analyst
Zenith American Solutions, Inc.
Zenith American Solutions seeks a Quality Assurance Specialist to audit and adjust healthcare claims, ensuring accuracy, completeness, and regulatory compliance. The role identifies training needs and recommends process improvements, while handling PHI/PII per job description. Responsibilities include auditing claims, submitting reports, and assisting with claims processing and customer service as needed, with a flexible remote work option based on business needs. #J-18808-Ljbffr Zenith American Solutions, Inc.
- ...products and software for image-based quality inspection, identification, and process... ...for companies in automotive, healthcare, transportation, automation, and logistics... ...Machine Vision is searching for a Quality Assurance (QA) Analyst to monitor, evaluate, and improve customer...Suggested
- Glint Tech Solutions seeks a Healthcare Claims Functional Analyst for a contract-to-permanent, on-site role near Canton, MD. The candidate will analyze claims data across formats, mainly Excel, and map data into the client’s benefits system while supporting testing and...ClaimsPermanent employmentContract workLocal area
$70 - $99 per hour
...passionate team of mental health advocates and healthcare veterans, Grow is looking for providers... ...credentialing, billing, and insurance claims so providers can enjoy the freedom of... ...that anyone can receive essential and quality mental healthcare. Why Grow Therapy?...ClaimsContract workPrivate practiceRemote work$18 - $22 per hour
Job Description Are you an experienced Medical Claims Adjuster in the Annapolis, MD area seeking a great career opportunity? Have you recently been looking for prestigious, national healthcare companies to further your long-term goals? Are you seeking real advancement opportunities...ClaimsHourly pay- Porter is hiring a Billing & Claims Analyst to join our team. The role focuses on tracking submissions, holds, and payments within Athena, ensuring accuracy and flagging patterns for improvements in the Revenue Cycle. You'll work with the Claims Operations Lead to resolve...Claims
$18 - $22 per hour
Healthcare Support Staffing is seeking an experienced Medical Claims Adjuster in Annapolis, MD, for a rewarding career opportunity. The ideal candidate will bring expertise in processing physician and hospital claims, along with a solid understanding of PPO plans. This...ClaimsHourly pay- ...is seeking a detail-oriented professional to advance Medicare claims processing and revenue maximization across state-operated facilities... ...and compliance, while collaborating with state agencies and healthcare partners. Applicants should have a Bachelor's degree and at...Claims
- A healthcare organization is seeking an Authorization Specialist to manage authorizations for billing procedures. The role involves verifying... ...insurance details, attaching authorizations, and addressing claim denials. Candidates should have a high school diploma and at...ClaimsRemote jobWork at officeFlexible hours
- Johns Hopkins Medicine seeks a Vendor Auditor to independently audit claims and vendor performance, ensuring contracts, SLAs, and regulatory standards are met. The role focuses on evaluating claims accuracy across medical, pharmacy, and PBM data and monitoring remediation...Claims
$20 per hour
Healthcare Support Staffing is seeking an experienced Claims Examiner in Annapolis, Maryland. In this role, you will review provider disputes and appeals related to claims resolution, adhering to both state and federal policies. The ideal candidate will have at least 1...ClaimsPermanent employmentTemporary workMonday to FridayShift work$19 - $28 per hour
...Overview At FutureCare our Medical Billers are the backbone of our healthcare revenue cycle who ensure that we are compensated timely for all... ...we provide to our residents. Our Medical Billers process claims efficiently to reduce submission errors and they verify that...ClaimsWork at officeRemote workMonday to FridayFlexible hours- ...answer inbound questions, assist with eligibility, benefits and claims, and document interactions in the CRM. The position requires... ...-2 years in customer service, call center experience, and familiarity with healthcare terminologies. #J-18808-Ljbffr Randstad EnterpriseClaimsRemote job
- Porter is a fast-growing healthcare IT and services platform seeking a Billing & Claims Analyst to join our team. You will track submissions, holds, payments, and invoiced items within Athena and flag patterns for correction by the Revenue Cycle & Claims Operations Lead...Claims
- ...providing excellent customer service while managing outstanding claims and billing issues. The ideal candidate should have a high school diploma and prefer at least 2 years of experience in a healthcare setting, with strong knowledge of revenue cycle processes and health...Claims
- ...Manager to lead reimbursement education and support for physician offices, focusing on benefit investigations, prior authorizations, and claims assistance. The role involves on-site and remote education, extensive travel, and strong customer relations with providers and...ClaimsRemote work
- ...the option to work in either an insurance office or a variety of healthcare environments, including doctors’ offices, hospitals, and... ...cycle and process of medical billing in order to transmit CMS-1500 claim forms using ICD and CPT codes Describe front-end duties related...ClaimsWork at office
- ...responsible for independently conducting claims and vendor performance audits to ensure... ...requirements, and Johns Hopkins Health Plans' quality standards. This position manages the day... ..., authorizations, appeals, and healthcare reimbursement policies. Success in this...Claims
$58k - $75k
Porter is hiring a Billing & Claims Analyst to join our Team! Porter combines the power of analytics... ...the power of care. Porter is a leading healthcare IT and services platform for care and... ...the gaps with the largest impact on quality measures, total cost of care, risk...Claims- ...the following link: Medical malpractice liability insurance is not required for federal civilian healthcare providers as they are covered by the Federal Tort Claims Act (28 U.S.C. § 1346(b)) while acting within the scope of their employment. Who May Apply: US Citizens...ClaimsPermanent employmentInternship
- ...collecting patient charges while filing and expediting third-party claims Maintaining office inventory and equipment by anticipating... ...of electronic medical records software is a plus. Experience in healthcare is preferred but not required. We are willing to train the right...Claims
- ...schedule, who knows what a clean insurance claim looks like, and who holds the patient... ...dental or medical practice management, healthcare administration, or a high-standards service... ...volume without losing composure or quality ~ Familiarity with HIPAA compliance and...ClaimsWork at officeImmediate start
- ...across the United States and Canada. Project Description Our client, a major healthcare organization based in Canton (Baltimore), Maryland, is seeking a Healthcare Claims Functional Analyst for a Contract-to-Permanent engagement. This is a 100% onsite role requiring candidates...ClaimsPermanent employmentContract workLocal area
$20 - $35 per hour
...Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible... ...and correct discrepancies to ensure accurate, compliant claim submission *********** What You Will Do: Review medical records...ClaimsHourly payFull timeReliefRemote workRelocation packageFlexible hours- ...communities. Baylor Scott & White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core... ...insurance company representatives by phone or correspondence to check claim status, appeal, or dispute payments and penalties. Has...ClaimsContract workImmediate start
- ...growth. Position Summary The Compliance Senior Health Data Analyst is responsible for providing advanced analytics, reporting,... ...investigations, privacy incidents, and member requests for claims and healthcare information, ensuring the accurate extraction, validation, analysis...ClaimsWork experience placement
- ...re building the AI Operating System for healthcare, the foundation that defines how care is... ...and autonomous RCM processing billions in claims, all on a single AI-native platform... ...patient access, affordability, and care quality. In this highly visible position, you'll...ClaimsWork at officeImmediate start
$106.9k - $147k
...make enhancements to the methodology of claims/premium forecasting and eventually include... ...encourage personal wellness and smart healthcare decisions for you and your family while... .... These efforts are leading to a better quality of life for people with Medicare and Medicaid...ClaimsFull timeTemporary workApprenticeshipRemote workWork from homeHome office$80.3k - $133.8k
...company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here,... ...Benefit Investigation, Prior Authorization,Claims Assistance, and Appeals) and educating the...ClaimsWork at officeRemote work$85 per hour
...are committed to these pillars of high-quality care: Evidence-based: We provide quality... ...nutrition and wellness. Collaborate with other healthcare professionals if applicable to ensure... ...: Don't worry about denials or unpaid claims Access to EHR for efficient client...ClaimsRemote jobHourly payPermanent employmentFull timePart timeFor contractorsPrivate practiceFlexible hours- Description Why We Need You - The Mission Healthcare quality is complex. Medisolv helps make it manageable—and actionable. We partner with... ...payers to bring clarity to quality data, connecting clinical and claims information into a single, reliable view. More than 1,800...ClaimsFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Healthcare Claims Quality Assurance Analyst. Be the first to apply!
- senior healthcare data analyst Annapolis, MD
- remote medical claims processor Annapolis, MD
- claims assistant Annapolis, MD
- claim specialist Annapolis, MD
- medical insurance claims specialist Annapolis, MD
- medical claims analyst Annapolis, MD
- claims consultant Annapolis, MD
- insurance claims processor Annapolis, MD
- claim examiner Annapolis, MD
- claims analyst Annapolis, MD

