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®
- ...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... ...satisfaction. Ensure compliance with HIPAA and other regulatory...ClaimsFull timeImmediate startRemote workFlexible hours
$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...SuggestedRemote work- ...Office (USAO) District of Arizona is seeking a Health Care Fraud Auditor to work within the Office's Affirmative Civil Enforcement (ACE)... ...to identify violations of federal law (primarily the False Claims Act, 31 U.S.C. 3729-3733, the Anti-Kickback Statute, 42 U.S.C....ClaimsFull timePart timeFor contractorsWork at officeRemote workRelocation
$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
$117.5k - $222.99k
...Opportunity, MedInsight is one of the healthcare industry’s most trusted... ...management and regulatory compliance, data analytics and business... ...operations, healthcare data, claims analytics, and health plan workflows... ...Accounts (FSA) - Pre-tax savings for dependent care,...ClaimsFull timeWork experience placementRemote workFlexible hours- ...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- ...as but not limited to: Customer Service, Claims Processors, and Correspondence positions... ...Of The JobThe Quality Assurance Coder/Auditor will develop a risk mitigation and provider... ...and recommendations regarding closing healthcare gaps, medical record documentation, coding...ClaimsFull timeWork at officeRemote work1 day per week
$95k
...Solventum. Solventum is a new healthcare company with a long legacy of... ...eligibility, including compliance with Solventums driver policy... ...Medical, Dental & Vision, Health Savings Accounts, Health Care & Dependent... ...schemes that falsely claim to represent Solventum and seek...ClaimsRemote workRelocation packageFlexible hours$117.5k - $222.99k
...including retirement funding and healthcare financing, risk management and regulatory compliance, data analytics, and business... ...care organizations, healthcare claims, clinical and pharmacy data, population... ...Accounts (FSA) - Pre-tax savings for dependent care,...ClaimsHourly payFull timeTemporary workWork experience placementWork at officeRemote workWorldwideFlexible hours$89k - $121.4k
...serves as a key intake point for claims-related questions and... ...structured and unstructured healthcare data. Use your skills to make... ...benefits, 401(k) retirement savings plan, time off (including paid... ...take affirmative action, in compliance with Section 503 of the Rehabilitation...ClaimsBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office- ...Officer (CLO) About the Company Large integrated healthcare system Industry Hospital & Health Care Type... ...serve as a strategic leader in the oversight of legal, compliance, internal audit, risk, and claims and litigation. The successful candidate will be a...Claims
- ...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
$46.99k - $122.4k
...Program Integrity Auditor We're building a world... ...transportation, and other healthcare providers. The Auditor... ...funds or rebilling of claims, and referral to state... ...rules. Maintain compliance with company policies... ...time off, retirement savings options, wellness programs...ClaimsHourly payFull timeMonday to FridayFlexible hours- ...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...ClaimsTemporary workWork at officeFlexible hours
- ...focused in construction, manufacturing and healthcare. Ranked as one of the top 100 Property &... ...in surplus. Amerisure is hiring a Claims Adjuster Associate to help support the claims... ...health and welfare benefits a 401(k) savings plan with profit sharing generous paid time...ClaimsFor contractorsWork at officeLocal areaFlexible hours
$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$65.5k - $102.5k
...Staff Auditor New York, NY, United States Salt Lake City, UT, United States Phoenix... ...including internal controls, consumer compliance, technology, operational risk, financial... ...~6% Company Match on retirement savings plan ~ Free financial coaching and financial...Work at officeLocal areaWorldwideFlexible hours- 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
- ...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
- ...ExamWorks is a leading provider of innovative healthcare services including independent medical... ..., peer reviews, bill reviews, Medicare compliance, case management, record retrieval,... ...insurance carriers, law firms, third-party claim administrators and government agencies...ClaimsFull timeWork at officeLocal area
$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$19 - $24 per hour
...Insurance Claims Specialist Established in 1975, Financial Pacific... ...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$78.8k - $145.13k
...Opportunity, MedInsight is one of the healthcare industry’s most trusted... ...management and regulatory compliance, data analytics and business... ...systems, clinical data, and claims dataStrong communication skills... ...Spending Accounts (FSA) - Pre-tax savings for dependent care,...ClaimsFull timeWork experience placementRemote workFlexible hours$86.3k - $118.7k
...objectives. The Senior Internal Auditor provides value-added service... ...Conduct operational, compliance, financial and investigative... ...Prior audit experience in the healthcare industry and/or public accounting... ...benefits, 401(k) retirement savings plan, time off (including paid...Full timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office- ...priorities including Sarbanes-Oxley (SOX) compliance; strategic, financial, regulatory,... ...closely with co-sourced partners and external auditors to ensure successful completion of... ...dental, & vision plan options ~ Health savings account (with enrollment in the high deductible...Temporary workRemote workFlexible hours
- 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
- Industrial Commission of Arizona is seeking a W/C Insurance Claims Specialist 2 to audit incoming claims for compliance with workers' compensation laws and to issue appropriate awards when indicated. Some remote work within Arizona may be available based on performance...ClaimsRemote job
- ...Medical Billing Manager – eClinicalWorks (eCW) Serenity Healthcare Location: Lehi, UT or Phoenix, AZ Job Type: Full-Time... ...team of billing specialists while personally working escalated claims, denials, and payer issues. eClinicalWorks (eCW) experience...ClaimsFull time
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