Remote Quality Assurance Specialist - Claims & Compliance
GEHA Health
- Remote job
GEHA Health is seeking a Quality Assurance Specialist for a remote role focused on auditing claims, calls, and electronic files to ensure accuracy and policy compliance. The position supports Provider Data Management and requires strong communication with staff and providers. The ideal candidate has an associate degree or equivalent experience, 4+ years in related QA, and solid MS Word/Excel skills. The role offers competitive pay, benefits from day one, and growth opportunities within the #J-18808-Ljbffr GEHA Health
- GEHA is offering a remote opportunity for a Quality Assurance Specialist with a focus on audits, reports, and provider data management. The role requires strong communication and MS Office proficiency, with a path to impact quality across departments. The position is based...Remote jobClaimsWork from homeHome office
- Ensuring the accuracy and compliance of revenue cycle processes, the full-time RCM Quality Assurance Specialist will conduct audits, monitor performance... ...various RCM leaders in a remote work environment. Key... ...reviews and audit revenue cycle claims and workflows against...Remote workClaimsFull time
- ...is a global provider of claims management and outsourcing... ...focuses on delivering high-quality services through... ...Description The Quality Assurance Specialist is a full-time remote role responsible for ensuring... ...detect issues, and verify compliance with standards. Experience...Remote workClaimsFull time
- ...integrity of internal controls, the full-time remote Quality Assurance Specialist III will conduct in-depth audits of claims processes, identify transaction errors, and... ...Perform regular audits of claims for accuracy, compliance, and contract interpretation, documenting...Remote workClaimsFull timeContract workWork at office
$20 - $24 per hour
...HGB Program Quality Assurance Specialist The HGB Program Quality Assurance Specialist plays a critical... ...accurately and completely prior to claim submission. This position serves as the... ...medical documentation, validating compliance with Medicare guidelines, and ensuring...ClaimsHourly payPart timeWork at office- ...U.S. Assurance Specialist | Commercial P&C A growing commercial Property & Casualty insurance... ...Specialist to work across underwriting, compliance, regulatory and financial activities.... ...forms, compliance, program governance, claims or policy administration could...Claims
- ...Quality Assurance SpecialistLos Angeles, California, United StatesAbout... ...seeking a Quality Assurance Specialist to ensure our products and... ...Korea HQ, overseeing product compliance, import documentation,... ...product quality-related customer claims (VOC), and regulatory...ClaimsLocal area
- ...Nuclear Safety and Quality Assurance Integration Specialist ProSidian seeks a Nuclear Safety and Quality... ...multidisciplinary contractor support, compliance oversight, and mission assurance.... ...(subject to change or working remotely): 2440 Stevens Center Place, H520...Remote workFull timeContract workFor contractorsFor subcontractorWork at office
- ...the revenue cycle for behavioral health and outpatient practices, the fully remote RCM Specialist will manage full-cycle medical billing, ensure timely claims submission, and maintain compliance using platforms such as Simple Practice and Tebra. Key responsibilities...Remote workClaims
$50k - $60k
...feel right at home here. TITLE: Quality Assurance Specialist REPORTS TO: Project Director LOCATION: Remote – West Coast EMPLOYMENT TYPE:... ...payment requests for program compliance, accuracy, and completeness... ...; (f) workers' compensation claims management; (g) employee job...Remote workClaimsFull timeFor contractorsSecond jobWork at officeLocal areaFlexible hours- ...QA Specialist IThe QA Specialist I provides quality oversight and compliance support for operations including equipment and material preparation, aseptic compounding,... ...attendance – this position cannot be performed on a remote or telecommute basis on a temporary, short- or...Remote workTemporary workWeekend work
- ...Will Make The Senior QA Specialist provides strategic quality oversight and leads projects that enhance compliance and operational efficiency.... ...improvement efforts for Quality Assurance colleagues to build... ...position cannot be performed on a remote or telecommute basis on a...Remote workTemporary workWeekend work
$55k - $75k
...assigned to legal/MVA operational quality function, validating lead and... .... Performs detailed quality-assurance and data-audit work across... ..., routing accuracy, and compliance with campaign parameters.Review... ...LocationRemote - United States. Full-time remote role with scheduled overlap...Remote workFull time$120k - $150k
...Motorist (UM) and Underinsured Motorist (UIM) claims. Attorneys are trusted to manage their... ...) Hybrid work schedule with extensive remote flexibility Medical, dental, and vision... ...analysis and case evaluationsEnsure compliance with client reporting requirements and litigation...Remote workClaimsWork from home$73k
...Title: Quality Assurance Specialist Department: Quality Enhancement Supervised by: Quality Assurance and Compliance Manager Classification: Full-Time, Salaried, Exempt Pay: $73,000 per... ...work performed in an office or approved remote environment, including extended...Remote workFull timeLive inWork at officeLocal areaFlexible hours- ...Overseeing the day-to-day functions of the claims department, the full-time Claims Supervisor will provide... ...support to staff, develop policies to ensure compliance, and drive process improvements while working remotely. Key responsibilities Manage claims inventory to...Remote workClaimsFull timeWork at office
$63.65k - $92.57k
...Responsible for ensuring the quality and accuracy of Patient... ...(PAS) billing and claims processes. Performs quality assurance reviews, analyzes workflows... ...with staff to ensure compliance with billing policies and... ...Hearing Constantly (67-100%) Remote Type Hybrid Work...Remote workClaimsShift work- ...patient account balances, the full-time Insurance Claims Specialist will ensure accurate claim submission, compliance with billing regulations, and timely follow-up while providing excellent customer service in a remote setting. Key responsibilities: Submits accurate and...Remote workClaimsFull timeWork at office
- ...experienced Revenue Cycle Quality Assurance Specialist to join our complianceteam.... ...accuracy, completeness, and compliance, then tracking correctiveaction... ...Terrell, TX office, with remote work available in... ...requirements Auditacross the full claim lifecycle, including patient...Remote workClaimsTemporary workWork at office
- ...healthcare consultancy is seeking a Remote Healthcare Billing Specialist to manage medical billing processes efficiently... .... You will prepare and submit claims, verify insurance coverage, handle billing inquiries, and ensure compliance with regulations. Ideal candidates...Remote workClaims
- ...Job Title: Compliance Specialist Job ID: 24-05033 Duration: 12 months (possible... ...extensions) Job Location: Remote Remote based, EST... ...like family by delivering the highest quality customer service and value....Remote workFlexible hours
- TruBridge is seeking a dedicated Institutional & ProFee Claim Biller - Commercial to manage day-to-day billing operations for Critical... ...preparation while guiding a team to maintain accuracy and compliance. The role requires 3-5 years of full-cycle billing experience,...Remote jobClaims
$20 - $25 per hour
...Billing Specialist Adventure Learning Behavioral Interventions is seeking a... ...reimbursement processes, minimizing claim denials, and maintaining compliance with industry regulations. Responsibilities... ...Location : Hybrid - 2 days remote and at least 1 day in-office,...Remote workClaimsHourly payPart timeWork at officeMonday to Friday3 days per week$70k
...Currently, we have multiple Remote Demand Reviewer, Legal Assistant... ...drafting without sacrificing quality. Maintain a 0% error... ...Responsibilities: Open insurance claims and manage communications... ...To receive state and federal compliance posters, e-mail ****@*****.***....Remote workClaimsTemporary work- ...Conducting audits of billing, documentation, insurance claims, and regulatory compliance activities, the full-time Audit Specialist will ensure adherence to Medicare, Medicaid, and commercial insurance requirements while identifying opportunities for improving reimbursement...Remote workClaimsFull time
- ...Hybrid Details: 3 days remote, 2 days onsite (Mon & Wed onsite) Duration: 12 months to start Job Description:... ...supports the full scope of the Division of Risk Management, including claims and third-party administrator oversight, insurance requirements...Remote workClaimsWork at office
$160k - $270k
...experienced Senior Employment Counsel to join our team. This is a remote attorney position for a seasoned California employment law... ...including terminations, leaves, wage & hour, discrimination claims, and compliance Defend employers in litigation and agency claims Draft...Remote workClaimsFull timeWork at office- SafePoint Insurance seeks a Senior Claims Examiner located in Florida for a fully remote role. You will handle daily residential and commercial property claims... ...first notice of loss to resolution while ensuring compliance with state requirements and company guidelines. The...Remote jobClaims
- ...difference? Join Pennsylvania's premier Quality Improvement Organization and step into a... ...advocacy and program integrity through compliance management. Here, you'll champion the needs... ...bedside setting to review and audit claims, support program integrity initiatives,...Remote workClaimsWork from home
- ...activities, validate coding accuracy, and ensure compliance with outpatient coding and reimbursement... ...Integrity.The role involves researching claims anomalies, applying CPT/HCPCS guidelines... ...teams to improve audit strategies. Remote work with occasional travel is possible....Remote workClaims
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