Quality Audit Analyst II - Medicare/Medicaid Claims
Hispanic Alliance for Career Enhancement
The Hispanic Alliance for Career Enhancement is seeking a full-time position specializing in Medicare and Medicaid High Dollar Claim Processing. This role involves conducting quality audits and ensuring customer satisfaction while working in a hybrid environment. The ideal candidate will have strong analytical and problem-solving skills, along with at least one year of relevant experience. A comprehensive benefits package supports the well-being of our employees. #J-18808-Ljbffr Hispanic Alliance for Career Enhancement
- ...Carrington is seeking a FHA Claims QA Analyst II to work remotely. You will be responsible for reviewing FHA mortgage insurance claims for accuracy... ...compliance with all regulations. The role also involves quality checks, documentation management, and finalizing claims...ClaimsRemote work
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...our amazing team and work remote from home! The Default FHA Claims QA Analyst II will work under moderate supervision, responsible for... ...accuracy within the investor/insurer timeframes. Complete quality checks using a scorecard and/or checklist to identify errors...ClaimsRemote workWork from home$21.1 - $49.08 per hour
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...reports to the Director of Claims Admin/Follow up. Under general... ...out the appeals and payer audit process for the various Lifespan... ...~ Management of continuous quality improvement ~ High quality... ...billing and reimbursement, Medicare and Medicaid denials and appeals, Third...ClaimsFull timePart timeWork at officeLocal areaRemote workShift work- A leading claims administration firm is seeking an Attorney Auditor to review legal and non-legal invoices for accuracy. The position is fully remote, inviting candidates from across the United States. Applicants must hold a Juris Doctorate (JD) and possess at least 5...ClaimsRemote job
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Workers Compensation Claims Specialist II 133801 Zurich is seeking an experienced Workman’s Compensation Claims Specialist to join our team!... ...available tools and resources within authority limits. Meet quality standards by following best practices. Ensure customer...ClaimsFull timeTemporary workFor contractorsApprenticeshipWork at officeLocal areaRemote workVisa sponsorship$60.8k - $100.3k
...loving what you do and where you do it. Job Category Premium Audit Compensation Overview The annual base salary range... ...Openings 1 What Is the Opportunity? At Travelers, the Operations Quality Assurance (QA) groups are responsible for ensuring that a high-...Work at officeLocal areaRemote work- ...Supervisor, Professional Revenue Cycle, the Professional Biller II will service incoming telephone calls from patients who may question... ...for the processing of payments, denials, refunds, secondary claims, filing and balancing monthly spreadsheets and functions as liaison...ClaimsWork at office
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$26.49 - $37.5 per hour
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...ensuring accurate and timely processing of claims, including denials and the maximization... ...KPIs. Support internal and external audits by providing requested documentation... ...Strong knowledge of ICD-10-CM, CPT, HCPCS, Medicare, Medicaid, Managed Care preferred. Strong...ClaimsHourly payTemporary workWork at officeLocal areaFlexible hours$18.5 - $42.35 per hour
...innovative environment dedicated to safety and quality. Join us and help simplify health care... ...activities in support of revenue or claim information. Performs general data gathering... ...of WEX system. Prior experience in auditing. Ability to use knowledge and experience...ClaimsHourly payFull timeTemporary workWork at officeLocal area3 days per week$59.9k - $98.2k
Zurich is seeking an experienced Workman’s Compensation Claims Specialist to join our team. The role is based in the Northeast and covers... ...strategy and tools within authority limits. Meeting quality standards by following best practices. Ensuring customer service...ClaimsTemporary workFor contractorsApprenticeshipWork at office- ...Providence, RI. The role involves conducting surveillance and investigative activities to identify potential fraudulent insurance claims. Candidates should proficiently use surveillance techniques to document claims and prepare detailed reports. Ideal candidates will...ClaimsWeekend work
$106k - $152k
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...knowledge, and experience. You may be just the right candidate for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced...ClaimsLocal areaRemote workWork from homeFlexible hours- ...Hancock Claims Consultants specialize in Ladder Assist and Property Inspection Services, collaborating directly with numerous insurance... ..., swift and comprehensive claims inspections, and unparalleled quality and precision. Our established process ensures top-tier claims...ClaimsPermanent employmentFor contractors
$42.5k
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