Healthcare Claims Auditor & Compliance Specialist
CVS Health
CVS Health is looking for a Program Integrity Auditor in Phoenix, Arizona. This role involves reviewing medical records to ensure compliance with coding standards and identifying any fraudulent activities. Candidates should have 3-5 years of experience in claims data, be knowledgeable in coding guidelines, and hold an active CPC, CCS, or CPMA license. The ideal applicant will have strong analytical skills and the ability to work independently as well as collaboratively. This full-time position offers a competitive salary and a comprehensive benefits package. #J-18808-Ljbffr CVS Health
- ...United States to review bills for billing accuracy, analyze complex claims, and identify savings opportunities. You will work with the... ...candidates bring 3+ years in auditing/claims review within healthcare, CPC/CIC certifications, and strong communication skills. #J-1...Claims
- CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the SIU, ensuring compliant coding and documentation across medical, behavioral health, transportation, and other services. The role requires auditing current records, communicating...Claims
- ...as but not limited to: Customer Service, Claims Processors, and Correspondence positions... ...OF THE JOB The Clinical Trainer and Auditor is responsible for planning, developing,... ...performance metrics Ongoing professional growth, compliance, and regulatory training Serve as a...ClaimsRemote jobFull timeWork experience placement1 day per week
- ...an exciting opportunity in healthcare? West Coast Ambulance is looking... ...for a motivated Billing Specialist to join our dedicated team in... ...and managing medical billing claims, ensuring timely... ...Maintain billing records and compliance with regulations Assist in Order...ClaimsFull time
$85k - $110k
...Reimbursement + Full BenefitsA rapidly growing multi-specialty healthcare organization is seeking a Physician Liaison to support referral... ...liaison or medical sales Personal injury case management Insurance claims adjusting Legal or plaintiff-side injury support Healthcare...ClaimsLocal areaRemote work- Resilient Health in Phoenix, AZ is seeking a Claims Specialist to support the day-to-day operations of the claims department by gathering information and processing medical and psychiatric healthcare claims. You will verify insurance eligibility, scrub claims for accuracy...Claims
- Valenz is recruiting a Certified Medical Claims Auditor to review medical bills upfront, identify... ...Join a collaborative team focused on accuracy, regulatory compliance, and continuous process improvement across the patient journey in healthcare. #J-18808-Ljbffr ValenzClaims
- A cleanroom technology provider in Phoenix, Arizona is seeking an AMC Auditor responsible for servicing client mechanical teams and ensuring AMC quality control. The role involves monitoring data, conducting audits, and supporting cleanroom operations. Candidates should...
- ...Accounting/FinanceDescriptionTerros Health is a healthcare organization of caring people, guided by... ...Cycle Management (RCM) Department with claims coding and billing review, best... ...regulationsReviewing claims and configuration to ensure compliance with coding guidelines and best...ClaimsFull timeWork at officeShift workDay shift
- ...Health is seeking a Certified Medical Claims Auditor to review bills, identify coding and billing... ...This fully remote role requires HIPAA compliance and collaboration with internal teams.... ...while delivering value to diverse healthcare clients nationwide. #J-18808-Ljbffr V...ClaimsRemote job
- ....NET Developer (Healthcare Insurance Industry Experience) 100% remote/contract MUST MUST MUST: Healthcare insurance (EDI 837 submissions... ...ideal candidate will combine domain expertise in insurance claims, member, and Healthcare provider data with advanced...ClaimsContract workRemote work
$46.99k - $122.4k
...The Program Integrity Auditor is responsible for the... ...transportation, and other healthcare providers. The Auditor... ...funds or rebilling of claims, and referral to state... ...rules. Maintain compliance with company policies... ...CCS (Certified Coding Specialist), or CPMA (Certified Professional...ClaimsHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hours$53.1k - $72.5k
...initiative and judgment. The Medical Coding Auditor confirms correct CPT coding assignments.... ...encourage personal wellness and smart healthcare decisions for you and your family while... ...Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation...Bi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday$71.1k - $97.8k
...community The Inpatient Medical Coding Auditor - PPI Coding Disputes reporting to the... ...coding disputes outcomes for timeliness, compliance and quality. Will be an experienced... ...to encourage personal wellness and smart healthcare decisions for you and your family while...Bi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to FridayFlexible hours- ...of chips that will 이는 digital future. As a Senior Customs Compliance Specialist, you will demonstrate a strong sense of reliability and enthusiasm... ...proper valuation, country of origin, and trade program claims. Oversee and enhance Foreign Trade Zone (FTZ) operations, ensuring...ClaimsWork at officeMonday to FridayShift work
- ...regulations Partner on complex, cross‑divisional initiatives to assess compliance impacts of products and operational activities Create... ...with Legal, Compliance, IT, Partner Management, Operations, and Claims Qualifications Demonstrated experience providing customer‑...Claims
$160k - $200k
...Principal Cybersecurity Engineer & Security Auditor to lead technical security engineering and independent auditing for a complex healthcare organization environment. This role... ...offensive and defensive capabilities with compliance and risk management responsibilities...Remote work- ...Senior Billing Specialist Join Denova Collaborative Health as a... ...helps ensure clean, compliant claims and maximizes reimbursement.... ...integrated, whole-person healthcare while strengthening the efficiency... ...ensuring timely filing compliance. Handle specialized billing...ClaimsTemporary workInterim roleMonday to FridayFlexible hours
$17.02 per hour
..., medical and communication specialists in the field, we set the standard... ...communities and leading healthcare systems. Our mission is... ...and submit clean insurance claims to payers electronically and... ...billing guidelines and industry compliance regulations Protect patient...ClaimsInternshipWork at officeLocal area- Section 1: Position Summary The Compliance Servicing Specialist position is primarily responsible for providing front-line call center and operational... ...ESA and other account types as necessary. Process death claims and miscellaneous forms related to the death claim...ClaimsWork experience placementBank staffSecond job
$12 - $13 per hour
...Company Description HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing... ...Qualifications ~ Must have insurance knowledge in order to file claims and collect deductibles/coinsurance payments Additional...ClaimsFull timePrivate practiceMonday to Friday$46.99k - $122.4k
...CVS Health is seeking a dedicated professional for the role focused on healthcare fraud investigation. The successful candidate will handle complex cases, prevent fraudulent claims, and cooperate with law enforcement. Qualifications include 3 years of experience in fraud...ClaimsFull time- ...based in Arizona that helps healthcare businesses across the United... ...experienced Medical Billing Specialist to support U.S.-based healthcare... ...the complete billing cycle: claim submission, payment posting,... ...claims as needed Ensure compliance with billing and coding...ClaimsFull timeWork at officeRemote workHome office
- ...Concentrix is seeking a Customer Service Representative – Remote (Healthcare) to handle inbound/outbound calls and online inquiries from home. You will support customers with benefits, claims, billing questions, and provider searches while maintaining accurate records...ClaimsRemote work
$100k - $135k
...like the Future Proof Festival. About the Role We're adding a Compliance Specialist to our team! A newly created role covering some of the firm'... ...substantiation files for all performance and factual claims Assist with drafting appropriate disclosures Maintain the...ClaimsImmediate start$21 - $24 per hour
...medication management solutions to support healthcare organizations serving seniors and... ...processing customer bills and insurance claims in an accurate and timely manner. This includes... ...audits and ensure payer and company compliance. Accurately enter patient information into...ClaimsFull timeTemporary workWork at officeWork from homeMonday to FridayFlexible hoursWeekend work1 day per week- Adelante Healthcare seeks a WIC Quality Assurance Specialist to ensure efficient operation of the WIC program, compliance with regulations, and high-quality services for participants. The role focuses on QA reviews, performance improvement, and training staff to sustain...
- ...Biller to join our administrative team in Phoenix. This in-person role focuses on accurate processing of patient billing and insurance claims. Responsibilities include posting payments, following up on underpaid or unpaid claims, verifying benefits, and communicating with...ClaimsPrivate practice
- ...Ensures interpretation and compliance with the appropriate accrediting... ...including verifications and claims history as required ~... ...Responds to inquiries from other healthcare organizations, interfaces... ...Provider Credentials Specialist (CPCS) preferred. Knowledge...ClaimsFull timePrivate practiceImmediate startMonday to Friday
$43.8k - $62.5k
Medical Claims Recovery Specialist (Subrogation) - Hybrid Arizona Date: Jul 8, 2026 Location: Phoenix... ...identify, verify, and coordinate healthcare coverage for Medicaid members, while... ...revenue recovery, accuracy, and program compliance. What we're looking for High School...ClaimsFull timeWork at officeRemote workMonday to FridayFlexible hours
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