Remote Claims Auditor - Health & Liability
HCC Global Financial Products
- Remote job
Tokio Marine HCC in the United States is seeking a claims liability investigator to assess liability on health and excess insurance claims under established policies. Under supervision, you will review plans, audit documents, set reserves, and communicate with TPAs and clients to resolve processing issues, while maintaining confidentiality and applying HIPAA guidelines. Join a growing specialty-insurance group that emphasizes innovation, collaboration, and career advancement, with a #J-18808-Ljbffr Tokio Marine HCC
$38.61 - $55.86 per hour
...SCAN Compliance Auditor Founded in 1977 as the Senior... ..., SCAN is a nonprofit health organization serving... ..., Compliance Programs, Claims, Utilization Management... ...of claims with member liability in accordance with CMS,... ...per hour Work Mode: Remote/Field (This role requires...Remote workClaimsHourly payContract workLocal area$50k - $65.3k
...Auto Liability Adjuster National General is a part of The Allstate Corporation, which means... .... We offer home, auto and accident and health insurance, as well as other specialty niche... ...to investigate and resolve advanced auto claims by determining coverage, liability, and...Remote workClaimsWork at officeWork from homeVisa sponsorshipWork visa- Overview Remote or Onsite Opportunity!Opportunities for you! Consecutively... ...The Senior Auditor oversees and performs financial... ...objectives of Community Care Health (CCH). Designs and prepares audit... ...revenue cycle, cost reporting, claims, provider data, health plan, or...Remote workClaims
- ...Job Description Consociate Health, a leading Third-Party Administrator, offers an opportunity to grow and develop your career... ...with our team and our clients. Position Summary: The Claims Auditor position reports to the Chief Administrative Officer. This position...Remote workClaimsContract workTemporary workImmediate start
- ...Apply Refer a Friend Back Remote Work from Home Share This... ...72269 Location: Johns Hopkins Health Plans, Hanover, MD 21076... ...Department Director, the Vendor Auditor is responsible for independently conducting claims and vendor performance audits to...Remote workClaimsFull timeLocal areaWork from homeDay shift
- Astrana Health in Monterey Park, CA is seeking a Senior Claims Auditor to join our Ops - Claims Ops team. You will analyze and audit health plan claims, ensure documentation compliance, and support CMS/DMHC guideline adherence across audits. Collaboration with multiple...Remote jobClaims
$78.91k - $98.64k
Moda Health in Oregon seeks a hospital billing coordinator/auditor to interpret coding for inpatient claims and ensure compliance with billing standards. This full-time, remote role requires CPT/ICD/HCPCS knowledge and medical record review experience. The position offers...Remote jobClaimsFull time$31.2 - $40.56 per hour
...Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians... .... Create consistency and efficiency in outpatient or inpatient claims processing and data collection to optimize APC, ASC or DRG...Remote workClaimsLocal area- ...Coding Auditor Department: SIU Employment Type: Full Time... ...routine coding reviews to ensure health records align accurately with... ...procedures and codes billed on a claim to a medical record.... ...career development initiatives ~ Remote work eligible REMOTE WORK...Remote workClaimsHourly payFull timeFlexible hours
- ...fulfill its mission to inspire health and make it easy. AZ Blue... ...classified as hybrid, onsite or remote. While the majority of our employees... ...limited to: Customer Service, Claims Processors, and Correspondence... ...Quality Assurance Coder/Auditor will develop a risk mitigation...Remote workClaimsFull timeWork at office1 day per week
$46.99k - $122.4k
...Program Integrity Auditor We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience... ...education, recoupment of funds or rebilling of claims, and referral to state regulators for any suspected...Remote workClaimsHourly payFull timeMonday to FridayFlexible hours- The Elevance Health Company seeks a DRG Coding Auditor to audit inpatient medical records and generate high-quality recoverable claims for all lines of business. You will apply advanced ICD-10 coding principles and DRG logic to substantiate conclusions and ensure accurate...Remote jobClaims
- Elevance Health is seeking a DRG Coding Auditor to audit inpatient medical records and generate recoverable claims across lines of business, ensuring accurate DRG assignment with MS-DRG... ...internal teams. The role offers hybrid/remote work with required in-person training....Remote jobClaims
- Oscar Health Insurance is seeking a Senior Analyst, SIU Clinical Investigator to detect and audit aberrant billing patterns in claims and clinical documentation. You will review medical records... ...recovery or referrals. This is a remote role with NYC/Tempe office options...Remote jobClaimsWork at office
- Machinify is a leading healthcare intelligence company. The Medical Review Nurse II audits home health claims, working remotely with a multi-location team to ensure compliance and high-quality documentation. The role emphasizes strong clinical judgment, coding accuracy,...Remote jobClaimsWork from home
- ...clinical experience, RN or LPN license, and bill review knowledge. You will support claims through research and QA until client-ready. Join a team with comprehensive benefits, ongoing development, and a commitment to health equity and quality care. #J-18808-Ljbffr ISHERemote jobClaims
$29.75 - $32.7 per hour
...enabled revenue cycle management solutions for health systems, including hospitals and... ...edits, and assist with research for denied claims. The Specialized Coder's role also includes... ...Healthcare 2024Monster Top Workplace for Remote Work 2024Great Place to Work certified 20...Remote workClaimsTemporary workLocal area- ...procedures into codes, educate provider offices, and perform claim audits. Remote work options allow telecommuting from anywhere in the U.S.... .../AAPC credentials and 2+ years in E/M coding, plus strong communication with physicians #J-18808-Ljbffr Texas Health InstituteRemote jobClaims
$71.1k - $97.8k
...caring community and help us put health first The Inpatient Medical Coding Auditor extracts clinical information from... ...auditor to review inpatient hospital claims for proper reimbursement, handle... ...Additional Job Description WORK STYLE: Remote/work at home. While this is a...Remote workClaimsBi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeWork from homeHome officeMonday to Friday- Job Summary TruHealth is the clinical arm of the health plan and supplies the model of care. The Coding and Medical Records Auditor will be responsible for conducting coding audits prior to claims submission. This position will ensure appropriate and accurate coding is...Remote jobClaims
- ...review and evaluate medical necessity, appropriateness, quality, and compliance of services rendered by providers. The role covers claims analysis, provider audits, fraud detection, and regulatory enforcement to ensure state and federal compliance. The RN will analyze...Remote jobClaims
- ...Medical Review Nurse - Home Health Auditor Machinify is a leading healthcare intelligence... ...Review Nurse II primarily performs medical claims audit reviews with a focus on the Home... ...and Commercial Payers. You will work remotely in a fast-paced and dynamic environment...Remote workClaimsWork at office
- ...documentation and compliance with ICD-10/CPT standards. The role emphasizes data quality for claims processing in a hospital system context. The position is full-time (40 hours/week) with remote work from anywhere in the U.S., offering a comprehensive benefits package and...Remote jobClaimsFull time
$38.46 - $52.4 per hour
...Remote Chicago - 550 Van Buren North Carolina Nevada Virginia... ...better consumer outcomes. Health systems, hospitals and medical... .... The Inpatient Coding Auditor will be responsible for the... ...action is initiated before the claim is rebilled to the insurance....Remote workClaimsHourly payPermanent employmentFull timeWork at officeLocal areaImmediate startFlexible hoursDay shift- ...healthcare bills. Centivo is seeking a Claims Auditor who will be responsible for conducting pre... ...system, El Dorado-Javelina or Health Rules Payer (HRP) preferred. Detailed knowledge... ...other applicants will be considered for remote positions. Centivo Values Resilient -...Remote workClaimsWork at officeImmediate start
$151k - $176k
...which have serious and costly health consequences when left... ...Manager Supplier & Internal Auditor to support the Quality Assurance... ...supplier audits (on-site and remote) in support of supplier qualification... ...and/or internet sites claiming to represent Vaxcyte in recruitment...Remote workClaims3 days per week- ...our team will directly improve health outcomes by connecting people... ...have the flexibility to work remotely* as you take on some tough... ...potential discrepant pharmacy claims Assess pharmacy site's physical... ...Degree Certified Quality Auditor (CQA) Intermediate level of...Remote jobClaimsWork at officeLocal area
- ...Insight is seeking a Clinical Claim Review RN to perform compliance... ...collaboration with a team of auditors to document findings and input... ...full-time (40 hours/week) with remote work options in Massachusetts... ...8:00 am-5:00 pm local time. #J-18808-Ljbffr Texas Health InstituteRemote jobClaimsFull timeLocal area
$36 per hour
...commute to the worksite location as needed. Remote ok, but hybrid preferred Pay: $36 /... ...business. Coordinates rate adjustments with claims areas and provides monthly and quarterly... ...~ Associate Degree - Nursing or Health Information Management or Graduate of an...Remote workClaimsWork experience placement- ...detail-orientedRemote Third-Party Liability (TPL) & Medical Records... ...regardingsettlements, dismissals, or claim denials. Work directly... ...and reimbursement requestsfrom health insurance carriers. Medical Records... ..., and processing timelines. Remote Work Requirements Must abide byGenesis...Remote workClaimsWork at officeHome office
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