Claims Auditor
Evolution Risk Partners LLC
Evolution Risk Partners, LLC is looking for a Stop Loss Claims Auditor or Senior Stop Loss Claims Auditor in Evanston, Illinois. The role involves auditing and authorizing reimbursements for medical claims while ensuring exceptional customer service. The ideal candidate will have 3-5+ years of experience in Stop Loss Claims Auditing and medical claim processing, with a strong analytical background. We offer a competitive salary, generous PTO, health insurance, and a 401(k) with match. #J-18808-Ljbffr
- ...Job Description Job Description Stop Loss Claims Auditor or Senior Stop Loss Claims Auditor The Stop Loss Auditor is responsible for auditing and authorizing reimbursements of specific claims and effectively mitigate client medical stop loss claims and provide...ClaimsContract workFlexible hours
$30.46 - $45.69 per hour
...of experience, among other factors. Billing Compliance, Senior Auditor Reporting to the Manager of Billing Compliance, this position supports... ...to identify, communicate, and resolve risks affecting claim payment, in partnership with administrative and clinical leadership...ClaimsHourly payFull timeContract workPart timeFor contractorsRemote workMonday to Friday$92.88k - $160.22k
...- $160,218Company: Elevance HealthPosted: 2026-08-17DRG Coding Auditor - MS-DRG and APR-DRG Virtual: This role enables associates to work... ...medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and...ClaimsFull timeTemporary workWork experience placementLocal area1 day per week$32 - $52.08 per hour
...Summary: As a key role in the Revenue Integrity team, the Auditor & Educator is responsible for conducting reviews of EMR documentation... ...focused educational programs on the results of auditing, review claim denials pertaining to coding, and implement corrective action...ClaimsHourly payFull timeShift work- ...Senior Auditor Employment Type: Full Time, Mid-level CGS is seeking a Senior Auditor who will assist the district legal staff by conducting medical claims data analysis, forensic investigations, financial damages, statistical sampling, and ability-to-pay analyses...ClaimsFull timeRemote workFlexible hours
$38.46 - $52.4 per hour
...expert you are now and create your future. The Inpatient Coding Auditor will be responsible for the auditing of inpatient coders and... ...corrected as appropriate, and corrective action is initiated before the claim is rebilled to the insurance. Conduct analysis and present...ClaimsHourly payPermanent employmentFull timeWork at officeLocal areaImmediate startRemote workFlexible hoursDay shift- ...Mid-Level Department: Financial CGS is seeking a highly skilled Auditor to provide general auditing and accounting services in support... ...volume of data such as bank records, financial records, healthcare claims, tax records, correspondence, policies, other documentary...ClaimsFull timeWork experience placementInterim roleWork at officeLocal areaFlexible 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...ClaimsRemote job
- 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 and APR-DRG methodologies. You will apply ICD-10 guidelines and clinical documentation...ClaimsRemote job
$500 per month
...time of hire and $1,000 after one year of service. DRG Coding Auditor - MS-DRG and APR-DRG Virtual: This role enables associates... ...medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and...ClaimsFull timeTemporary workWork experience placementWork at officeLocal areaRelocation package1 day per week$26.44 - $36.06 per hour
The Inpatient Coding Auditor will be responsible for auditing inpatient coders and offshore inpatient coding auditors to ensure coding... ...coding guideline compliance and correct identified errors before claims are rebilled. Conduct analysis and present summaries of...ClaimsHourly payPermanent employmentWork at officeFlexible hours$26.44 - $37.5 per hour
The Coding Auditor - ambulatory/professional coding/profee will be responsible for auditing coders and coding auditors to ensure coding... ...of coding guidelines and correct identified errors before claims rebill. Conduct analysis and present summaries to leadership in...ClaimsHourly payPermanent employmentWork at officeDay shift$26.44 - $37.5 per hour
...Values into daily work practices. Conduct audits of coders and auditors, ensuring a minimum coding accuracy of 95%. Perform quality checks... ...and coding guidelines; ensure errors are corrected before claims are rebilled to payers. Analyze findings and present concise, actionable...ClaimsHourly payPermanent employmentWork at officeLocal area- HCSC is seeking a claims auditing professional to review clinical, billing, coding, and cost-setting reviews pre- and post-payment. You will research findings, document them thoroughly, and consult with special investigations and affordability teams as needed. The role...ClaimsRemote job
$55.9k - $123.5k
...setting reviews for services pre and post payment utilizing medical, contractual, legislative, policy, and other information to validate claims submitted and billed. Conducting research. Preparing documentation of findings and consulting with special investigation and the...ClaimsRemote workWork from home- CGSfederal in Chicago is seeking a Senior Auditor to join our Financial Services group. The role focuses on forensic accounting, complex... ...-related matters. The Senior Auditor will conduct medical claims data analysis, forensic investigations, and financial damages assessments...Claims
- Health Care Service Corporation is seeking a role focused on auditing clinical, billing, coding, and cost reviews to validate claims and inform pre/post payment decisions. The position involves researching information, documenting findings, and coordinating with medical...ClaimsRemote job
- Job Summary CGS is seeking a highly skilled Auditor to provide general auditing and accounting services in support of fraud investigations... ...of data such as bank records, financial records, healthcare claims, tax records, correspondence, policies, other documentary...ClaimsWork experience placementInterim roleWork at officeLocal areaFlexible hours
- ...A leading adjuster training company in Skokie, Illinois, is seeking Independent Insurance Claims Adjusters. This role offers a chance to make a meaningful impact on people's lives following disasters while enjoying flexibility and competitive pay. Comprehensive training...ClaimsFlexible hours
$20.5 per hour
...distributed Weigh or count items for distribution within the plant to determine and ensure meet company standards Report damages and claims to inventory control Arrange stock parts in a specific order for assembly by other workers Process inbound/outbound orders safely...ClaimsLocal areaMonday to FridayFlexible hoursAfternoon shift- A prominent claims adjustment company is seeking Independent Insurance Claims Adjusters in Wilmette, IL. This role offers flexible schedules and meaningful work helping clients recover from disasters. The company provides comprehensive training programs conducted by industry...ClaimsFlexible hours
- A leading adjuster training company in Skokie, Illinois, is seeking Independent Insurance Claims Adjusters. This role offers a chance to make a meaningful impact on people's lives following disasters while enjoying flexibility and competitive pay. Comprehensive training...ClaimsFlexible hours
- Endeavor Health in Skokie, IL is seeking an Insurance Representative II to join our financial services team. You will manage insurance claims, resolve billing issues, and support patients and providers to maximize reimbursements and ensure accurate submissions....Claims
- A claims adjusting training firm located in Morton Grove seeks Independent Insurance Claims Adjusters to embark on a rewarding career. This role offers comprehensive training for newcomers and expects some experience handling claims. You will play a vital role in helping...ClaimsFlexible hours
- ...IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for...ClaimsFlexible hours
$50k - $70k
...customer accounts and update information in the database. Assist customers with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate with underwriters to ensure timely policy issuance. Qualifications...Claims- ...gaining knowledge and new skills. The Revenue Cycle Medical Billing Specialist will be responsible for the submission of insurance claims to payors, posting payments, and subsequent follow-up to ensure claims are processed in a timely and accurate manner. The Medical Billing...ClaimsWork at officeRemote workFlexible hours
$42.54 - $65.94 per hour
...clinical and organizational events in order to decrease the frequency and severity of patient safety events and works closely with Claims Management to identify potential/actual professional and general liability claims. Collaborates with Performance Improvement team and...ClaimsHourly payFull timePart timeMonday to FridayFlexible hours$20.69 - $30 per hour
...Overview: The Insurance Representative II is a key member of the hospital's financial services team, responsible for managing insurance claims and resolving billing and payment issues. This position plays a critical role in ensuring the hospital's financial success by...ClaimsHourly payFull timePart timeFor contractorsMonday to FridayFlexible hoursShift work- ...A claims adjustment firm in Illinois is seeking Independent Insurance Claims Adjusters to respond to the growing demand in the wake of storm-related events. This role provides support to individuals and businesses affected by disasters. As a Licensed Claims Adjuster,...Claims
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Claims Auditor. Be the first to apply!


