Healthcare Claims Auditor for Savings & Compliance
Vālenz Health®
Valenz Health is seeking a Clinical Bill Review Analyst to scrutinize medical bills for proper coding, uncover billing discrepancies, and identify savings opportunities. You will prepare detailed reports and communicate findings to clients, while guiding junior analysts and contributing to process improvements. The role emphasizes strong communication, problem-solving, and regulatory compliance, including HIPAA, with opportunities to collaborate across internal teams to drive client savings and #J-18808-Ljbffr Vālenz Health®
$71.1k - $97.8k
...Inpatient Medical Coding Auditor extracts clinical... ...review inpatient hospital claims for proper... ...personal wellness and smart healthcare decisions for you and... ...benefits, 401(k) retirement savings plan, time off (... ...affirmative action, in compliance with Section 503 of the...ClaimsBi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday- ...is the platform to simplify healthcare - the destination for employers... ...Analyst, you’ll review claims upfront and take a deeper dive... ...guidelines. You’ll help identify savings opportunities and share timely... ...client satisfaction Ensure compliance with HIPAA and other regulatory...ClaimsImmediate startRemote workFlexible hours
- AHCCCS seeks an Auditor 3 in Phoenix to conduct audits of Fee For... ...Managed Care providers, review claims, medical records, and... ...analysis, interviews, and ensuring compliance with Medicaid/Medicare regulations... ...hold a degree in accounting, healthcare, or related fields. #J-18808...ClaimsWork at office
$20 - $21 per hour
...policies to ensure quality, consistency, and compliance. Performs other duties as assigned.... .../benefits and checking on the status of claims/authorizations. Key Requirements and... ...with multiple systems simultaneously Healthcare/Insurance Knowledge claims, eligibility,...ClaimsContract workLocal areaImmediate startRemote workShift work- ...members, delivering complex projects across healthcare, semiconductor, higher education, sports... ...program — from insurance strategy and claims oversight to safety alignment and... ...risk transfer, coverage, and contractual compliance. Oversee COI compliance, OCIP/CCIP enrollment...ClaimsWeekly payContract workFor contractorsApprenticeshipFor subcontractorInternshipH1bLocal areaVisa sponsorshipWork visa
$138.9k - $191k
...fraud laws and statutes (False Claims Act, Anti-Kickback Statute,... ...personal wellness and smart healthcare decisions for you and your family... ...benefits, 401(k) retirement savings plan, time off (including... ...take affirmative action, in compliance with Section 503 of the Rehabilitation...ClaimsFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office- ...Inc. (CBI) is an integrated behavioral healthcare agency offering a variety of different programs... ...in key healthcare operations (e.g., claims/billing, coding, credentialing required.... ..., Pet Insurance, Dependent Care Savings, Health Care Savings, 401K with employer...ClaimsContract work
$50k
...solutions that span the entire healthcare value chain. Formed by the... ...to compliantly troubleshoot claims at retail pharmacies for eligible... ...stakeholdersOperate in Compliance with HIPAA within program guidelinesOn... ...match on Health Savings Account contributionsFree Basic...ClaimsFull timeTemporary workWork at officeLocal areaImmediate startRemote work$80.9k - $110.3k
...based initiatives within the HealthCare Economics team, partnering across... ...analyzing and forecasting claims and revenue trends,... ...benefits, 401(k) retirement savings plan, time off (including paid... ...take affirmative action, in compliance with Section 503 of the Rehabilitation...ClaimsFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office- ...bills, identify billing and coding opportunities, and support saving initiatives for clients with strong attention to detail and collaboration... ...Requirements include CPC and/or CIC certification, 3+ years of healthcare billing/auditing experience, knowledge of ICD-10/CPT/HCPCS, and...ClaimsRemote job
- ...to review medical bills, identify discrepancies, and uncover savings opportunities based on standard billing practices and coding guidelines... ...junior analysts. This fully remote role requires 3+ years in healthcare auditing and CPC/CIC certification with strong CMS knowledge....ClaimsRemote job
- ...Revenue Cycle and focuses on ensuring compliant coding and accurate billable services. The position involves ongoing education of the claims team and practitioners, staying current with coding guidelines, and implementing strategic protocols for coding review and...Claims
- ...high-volume behavioral health and psychiatric claims processing. You will verify eligibility, scrub... ...transactions, and post payments while ensuring compliance and timely reimbursement. The role requires 1-2 years in healthcare billing (behavioral health preferred),...Claims
- ...partners and patients. You will guide a team, ensure accurate claims processing, and uphold exceptional customer service as the voice... ...collaborate with payer programs while applying best practices and compliance standards across #J-18808-Ljbffr Vital Care Infusion ServicesClaims
- ...to oversee back-end revenue cycle operations, including timely claim submissions, collections, reimbursements, and handling denials.... ...staff, set priorities, monitor performance, and ensure policy compliance across the department. The role emphasizes leadership, training...Claims
$41.84k - $57.53k
...we improve lives by helping healthcare professionals do their best work... ..., Dental & Vision, Health Savings Accounts, Health Care & Dependent... ...schemes that falsely claim to represent Solventum and seek... ...conditioned on your acceptance and compliance with these terms. Please...ClaimsWork experience placementH1bWork at officeWorldwideRelocationRelocation packageFlexible hoursAfternoon shift$19 - $24 per hour
...Insurance Claims SpecialistEstablished in 1975, Financial Pacific... ...company information.Demonstrates compliance in assigned job function and... ...associates comprehensive healthcare coverage (medical, dental, and... ...plans), a 401(k)-retirement savings plan with employer match for...ClaimsContract work$45 - $55 per hour
Join to apply for the Healthcare Senior Business Analyst (Homecare Homebase focus) role at... ...cross-functional collaboration between IT, compliance, clinical, and operational teams. Lead... ...Health Support Business Analyst - Claims & Encounters Processing Phoenix, AZ $50,...ClaimsFull timeContract workRemote work- ...Blue Signal Search Director of Staffing | Healthcare, Revenue Cycle Management, Accounting,... ...insurance reimbursements, and regulatory compliance. As a critical team leader, you will... ...coordinate resolution strategies for outstanding claims, and monitor metrics to optimize cash...ClaimsFull timeContract work
- ...re building the AI Operating System for healthcare, the foundation that defines how care is... ...and autonomous RCM processing billions in claims, all on a single AI-native platform... ...clients to understand their technology needs, compliance requirements, and patient care goals....ClaimsWork at officeImmediate start
- ...management solutions to support healthcare organizations serving seniors... ...customer bills and insurance claims in an accurate and timely... ...and ensure payer and company compliance. Accurately enter patient information... ...to evaluate options to save resident money. Responsible...ClaimsFull timeTemporary workWork at officeFlexible hours
- ...Position Overview A growing, multi-location healthcare organization is seeking an experienced... ..., patient collections, charge capture, claim-related workflow issues, and accounts... ..., productivity, and patient access. Compliance & Quality Support compliance with HIPAA...ClaimsFull timeWork at officeMonday to Friday
- ...off or discount charges deemed necessary to proactively mitigate claim potential.* Provides clinical knowledge and assistance to the... ...hospital or clinical environment and one to three years progressive healthcare leadership in risk management, quality improvement, patient...ClaimsWork at office
- ...in Phoenix, AZ is seeking an entry-level candidate to begin a career in medical billing, insurance, and healthcare revenue-cycle operations. The role supports claims processing, patient accounts, and verification tasks. You will review and process claims, enter data, verify...Claims
- AllThrive 365 is seeking a Weatherization Energy Auditor & Gen Main. Tec to support energy audits in the Phoenix area. You... ...subcontractors, and perform diagnostic tests to determine energy savings while ensuring compliance with program guidelines. The role requires a high school...For subcontractor
- ...Medical Billing Manager – eClinicalWorks (eCW) Serenity Healthcare is hiring an experienced Medical Billing Manager to lead our centralized... ...team of billing specialists while personally working escalated claims, denials, and payer issues. eClinicalWorks (eCW) experience...Claims
$17.02 per hour
...Services Intern Join Our Life-Saving Team! Are you ready to... ...local communities and leading healthcare systems. Our mission is simple... ...Prepare and submit clean insurance claims to payers electronically and... ...guidelines and industry compliance regulations Protect patient confidentiality...ClaimsInternshipWork at officeLocal area- ...professional seeking an exciting opportunity in healthcare? West Coast Ambulance is looking for a... ...processing and managing medical billing claims, ensuring timely reimbursements, and... ...Maintain billing records and compliance with regulations Assist in Order Intake...ClaimsFull time
- ...AREExamWorks is a leading provider of innovative healthcare services including independent medical... ..., peer reviews, bill reviews, Medicare compliance, case management, record retrieval,... ...carriers, law firms, third-party claim administrators and government agencies that...ClaimsFull timeWork at officeLocal area
- 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
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