Remote Provider Data & Claims Auditor II
CorVel Corporation
- Remote job
CorVel Corporation is seeking a Provider Management Analyst to verify provider information and audit documentation for claims, including itemized bills, medical records, UB04s, and HCFAs. This remote role emphasizes accuracy and timely processing. You will collaborate with leadership, maintain standards, support teammates, and protect PHI/PII confidentiality. Strong MS Office skills and HS diploma required. #J-18808-Ljbffr CorVel Corporation
- CorVel Corporation, CERIS division, seeks a Provider Management Analyst to verify provider information and documentation for claim audits, including itemized bills and medical records. This is a remote position. Responsibilities include communicating with leadership, maintaining...Remote jobDataClaims
$58.4k - $107.74k
...Clinical Provider Auditor II - Payment Integrity SIU Location: This role enables associates to... ...Among us are care providers, engineers, data scientists, and other dedicated... ...How you will make an impact: Examines claims for compliance with relevant billing and...DataClaimsFull timeTemporary workWork experience placementWork at officeLocal area1 day per week$50k
...FINANCIAL EXAMINER/ANALYST II - 43001267 Pay Plan:... ...and interpretation of data. Analyze management... ...laws and rules and provide management with summarized... ...cycle. This is a non-remote on-site position... ...requirements. Candidates claiming Veterans’ Preference must...Remote workDataClaimsFull timeWork at officeFlexible hours$40k - $44k
...HealthProof is looking for Claims Examiner II, reporting to the Claims Team... ...is responsible for reviewing data within the claims processing... ...these projects may include provider data, authorizations, enrollment... ...Geographic Responsibility: Remote, US Type of Employment:...Remote workDataClaimsPermanent employmentFull timeWork at office- ...CorVel Corporation, is seeking a Provider Management Analyst to verify... ...requests for documentation to audit claims, including itemized bills and medical records. This remote role emphasizes accuracy and... ...upholding strict privacy and data security practices. #J-18808-Ljbffr...Remote jobDataClaims
$52.69 - $69.82 per hour
...- 08 Hour R2658919 Remote USA 108610021 Admin... ...Coding Compliance Auditors conduct audits and... ...involves analyzing data, collaborating with... ...Compliance Auditor II is the full proficiency... ...errors before claims submission, ensuring... ...their effectiveness. Provide feedback to Billing...Remote workDataClaimsHourly payFull timeWork experience placementWork at office- ...serves as a senior auditor responsible for planning... ..., and compliance data using advanced... ...conclusions reached. Provides technical guidance... ...Financial Management Level II Certification.... ...eligible:Yes Remote work eligible: No PCS... ...support your educational claims. Transcripts....Remote workDataClaimsFull timeContract workPart timeWork at office
- ...at HHS webpage. Functional Title: Provider Experience Technology Auditor Job Title: Information Tech Auditor... ...Key department deliverables include claims resolution, acute care claims processing... ...processes, system usability, data integrity, internal controls, compliance...Remote workDataClaimsFull timeTemporary workPart timeWork at officeShift work
$32.18 - $48.68 per hour
...and of CorVel. This is a remote position. ESSENTIAL... ...concern to the appropriate claims staff/customer Collects data and analyzes information to... ...For leveled roles (I, II, III, Senior, Lead, etc.)... ...Work® Company, is a national provider of industry-leading risk management...Remote workDataClaimsHourly payMinimum wageFull timeWork at officeLocal areaFlexible hours$75k - $85k
...Summary/Job Purpose: The Staff Auditor II’s primary focus is to perform... ...4 days in the office, 1 day remote. Essential Functions: Perform... ..., the Staff Auditor II may provide day-to-day coaching and work... ...products, risk engineering and claims management services that enable...Remote workClaimsTemporary workWork experience placementWork at officeLocal areaFlexible hours- Auditor US Defense Commissary Agency (Part of... ..., and compliance data using advanced analytical... ...reached. Provides technical guidance... ...Financial Management Level II Certification.... ...Telework eligible: Yes Remote work eligible: No... ...your educational claims. Transcripts. REQUIRED...Remote workDataClaimsPermanent employmentFull timeContract workPart timeWork at officeRelocationTrial period
$48.35k - $78k
...Internal Auditor II General information Press space or enter keys... ...analysis to understand gaps and provide appropriate recommendations.... ...focuses on delivering secure data access, mitigating fraud, and... ..., pursuing any discrimination claim, or cooperating in related investigations...DataClaimsFull timeWork experience placementH1bWork at officeLocal area1 day per week- ...Property Adjuster II Exercises independent discretion or judgment... ...all types of property claims. Also assists or acts on behalf... ...equipment to work from home will be provided. Good time management and... ...Often (20-50%) Manual Keying/Data Entry/inputting information/computer...Remote workDataClaimsLive inWork from homeHome office
$45.32k - $74.54k
...: * Position is eligible for Remote / Work from Home opportunity * Department: Provider Audit Telecommuting Eligible: Yes Job Grade: E10 Notice of... ...Noridian (noridiansolutions.com) Job Title Provider Auditor II Job Summary The Provider Auditor is...Remote workFull timeFor contractorsWork experience placementCasual workWork at officeWork from homeFlexible hours- ...exciting career with the leading provider of supplemental benefits! Our... ...lasting partnerships both remotely and in the field. Functional:... ...sufficient in confirming eligibility, claims submission and payment by use... ...programs/systems utilized in data analysis. Ability to monitor...Remote workDataClaimsContract workLive inWork at officeLocal areaFlexible hoursNight shift
- Overview Remote or Onsite Opportunity!Opportunities for you!... ...We know that our ability to provide the highest level of care is... ...Responsibilities The Senior Auditor oversees and performs... ...revenue cycle, cost reporting, claims, provider data, health plan, or clinical experience...Remote workDataClaims
$100k - $150k
...insights to physicians, providing critical information... ...provide best-in-class data, analysis, and methodological... ...administrative claims, electronic health records... ...working in oncology Phase II-IV clinical trials and/... ....Additionally, for remote roles open to individuals...Remote workDataClaimsFull time- ...Property Adjuster II Exercises independent discretion... ...all types of property claims. Also assists or acts... ...required. This is a remote, work from home... ...work from home will be provided. Good time management and... ...(20-50%) Manual Keying/Data Entry/inputting information...Remote workDataClaimsLive inWork from home
- ...Reimbursement Specialist II Are you motivated to... ...position is a temporary, remote role with a Monday -... ...employer, we promise to provide you with a purpose driven... ...reconciliation of medical claims for the purpose of collecting... ...codes from payers Data entry, correct payer...Remote workDataClaimsTemporary workMonday to FridayDay shift
$26 - $30 per hour
...Medical Coding Specialist II is responsible for correctly coding healthcare claims and analyzing denials to... ...the most accurate data based on documentation.... ...Medical Coder II Location: Remote Schedule: 8am – 5pm in Eastern... ...The company does not provide employment visa...Remote workDataClaimsHourly pay$93.6k - $117k
...need to grow your career.Data at BrexThe Data... ...ll doAs a Data Analyst II (DA), you will play a central... ...weeks per year of fully remote work!... ...questions, surface trends, and provide data-driven recommendations... ...com domain. Any outreach claiming to be from Brex via other...Remote workDataClaimsWork at officeWork from home$70 - $90 per hour
...and evaluation methodology. Provide clear, rubric-based written... ...quality and rigor. Assess ML claims against supporting evidence and... .... Strong understanding of data-quality rigor, including leakage... ...experience. Work Terms Remote, United States. Hourly...Remote workDataClaimsHourly pay$70 - $90 per hour
...reasoning, and evaluation methodology — and provide clear, rubric-based written feedback.... ...evaluation methodology) Strong grasp of data-quality rigor: leakage detection, metric... ...scikit-learn, XGBoost) Ability to critique ML claims against evidence and reproduce results...Remote jobDataClaims$90k - $159k
...to improve efficiency, strengthen controls, and resolve data integrity issues. Provide ad hoc analysis and reporting support to internal stakeholders... ...the hiring process. If you are contacted by someone claiming to represent us from a different email address, please...Remote workDataClaimsFull time- ...Coding Analyst II, Advanced This position... ...be eligible for remote home work within Central... ...reports, maintains data on status of... ...operative reports. Reviews claims and claim rules by... ...judgment/action. Provides accurate price... ...Reimbursement Analysts, Auditors, and Data Entry to...Remote workDataClaimsWork at officeWork from home
- ...19 years in a row for providing the highest-quality medical... ...and resubmitting claims to third party payors,... ...Revenue Cycle Specialist II: Participates in... ...codes. Accurately enters data in fields. Maintains acceptable... .... Approved Remote States: Arizona, California...Remote workDataClaims
- ...eligible position that is partial remote. Must be local in San Diego... ...gastroenterology. The Coder II is responsible for ensuring... ...concurrent and/or retrospective claims data reviews for physician... ...hold educational meetings with providers. May provide instructions and...Remote workDataClaimsFull timeLocal areaRelocationWeekend work
$29.33 per hour
...Claims Specialist II Join an amazing team that is consistently recognized... ...For positions that work remotely or in a hybrid work-from-home... ...minimum, internet service must provide 25 Mbps download speed. Team... ...preparing documents, entering data into computer system, and...Remote workDataClaimsHourly payWork from homeMonday to Friday$26.72 - $29.26 per hour
...Compliance Auditor Are you looking for an opportunity... ...our team. This is a remote position with 25%... ...focused audits based on data mining and analytic findings... ...to ensure claims meet payer requirements... ...Merakey is a non-profit provider of developmental, behavioral...Remote workDataClaims$46.99k - $122.4k
...Program Integrity Auditor We're building a world of health around... ...transportation, and other healthcare providers. The Auditor must have the... ...of funds or rebilling of claims, and referral to state regulators... ...and interpreting claims data, as well as medical records and...Remote workDataClaimsHourly payFull timeMonday to FridayFlexible hours
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