Remote Claims Quality Auditor
$30 - $40 per hourHealthCare Resolution Services, Inc.
- Remote job
HealthCare Resolution Services, Inc. is seeking a Claims Auditor located in Columbia, Maryland. In this role, you will be responsible for auditing medical and dental claims, ensuring accuracy and compliance with internal policies. The ideal candidate holds a Bachelor's degree in accounting or finance and has at least three years of relevant experience. The position offers a salary between $30 and $40 per hour. #J-18808-Ljbffr HealthCare Resolution Services, Inc.
- ...Working remotely in a full-time capacity, the Quality Assurance Auditor will conduct systematic investigations of operations, perform quality assurance audits, and... ...and problem-solving skills, with knowledge of claims, service, and enrollment processing systems Good...Remote workClaimsFull timeWork experience placement
- Valid8 Financial, Inc. is looking for a Senior Auditor for Healthcare Claims to oversee claims quality and compliance. The role requires strong expertise in auditing... ...and collaboration across multiple teams. This remote position supports operational excellence through...Remote jobClaims
- ...California is looking for an Operational Quality Services Specialist, Associate to join their... ...This role involves performing audits on claims processing and ensuring compliance with... ...offers a hybrid work model, allowing for remote work while requiring occasional office presence...Remote workClaimsWork at office
- ...looking for a Performance Assurance Analyst to conduct quality reviews on personal and commercial claims. The role requires strong knowledge of claims... ...learning and development, along with the opportunity to thrive in a remote work environment. #J-18808-Ljbffr SedgwickRemote jobClaims
$25.38 - $36.76 per hour
...-Health-Plan in California is seeking a Quality Auditor to perform operational audits across various health plan operations including Claims and Enrollment. Responsibilities include... ...range of $25.38 to $36.76 per hour and a remote work option. #J-18808-Ljbffr Scan-...Remote jobClaimsHourly payWork at office$25.38 - $36.76 per hour
SHPCA SCAN Health Plan is seeking a Quality Auditor to conduct compliance audits across various health plan operations. This role ensures... ...and be proficient in Microsoft Office. This position offers a remote work option and a competitive pay range of $25.38 to $36.76 per...Remote jobClaimsHourly payWork at office- ...Working independently and in groups the Quality Assurance Auditor will be responsible for the completion... ...teams, as well as completing audit of claim adjustments by the Rapid Response team... ...and computer work Work Environment Remote Here at Allied, we believe that great...Remote workClaimsWork experience placementWork at officeWork from home
- Claims Quality Analyst | Remote Job Type: Full time Work Setup: Remote Reports to: Claims Supervisor Position Summary: Claims Quality Analyst plays a key role in ensuring the accuracy, compliance, and effectiveness of claims processing and provider dispute resolution...Remote jobClaimsFull time
- Remote Position Scope of Position After inpatient medical records are coded within Medical... ...Management (MIM), the Inpatient Coding Quality Analyst serves as a subject matter expert... ...and coding scenarios, resolves inpatient claim and coding edits, supports denial prevention...Remote workClaimsWork at office
$25.38 - $36.76 per hour
...people and communities we serve. The Job The Quality Auditor will perform routine and targeted... ...operations including but not limited to Claims, Grievances and Appeals, Enrollment, Configuration... ...: $25.38 to $36.76 per hour. Work Mode: Remote. Annual bonus program. Robust Wellness...Remote workClaimsHourly payWork at office$30.85 - $46.28 per hour
Job Title Conducts data quality audits of inpatient admissions and outpatient encounters to validate coding assignment is in compliance... ...procedures. Adheres to Standards of Ethical Coding (AHIMA). Reviews claim to validate abstracted data including but limited to discharge...Remote jobClaimsHourly payLocal areaRelocation packageFlexible hours- ...QVC is seeking a qualified QA Performance Claims Specialist to support product performance claims for QVC and HSN. In this role, you will... ...industry standards, and a preferred background in beauty. This remote position requires residency in PA, NJ, or DE. QVC offers...Remote workClaims
- ...exciting opportunity to apply clinical knowledge to review medical billing and coding accuracy. The ideal candidate will evaluate claims, maintain communication with clients, and ensure compliance with client deadlines. A CPC, APCC, CMBS, or DRG certification is required...Remote workClaims
- ...configuration changes to ensure system functionality aligns with business requirements. The ideal candidate will have extensive experience in claims processing and be adept at distinguishing between configuration and claims issues. Strong communication and documentation skills...Remote jobClaims
- ...Orlando, Florida. This role focuses on reviewing medical billing information and coding while ensuring accuracy and timely processing of claims. Candidates must possess a CPC, AAPC, CMBS, or DRG coder certification and have experience in payment integrity or bill review. The...Remote workClaimsFlexible hours
- ...work options: Located in Indianapolis, IN. Remote and Hybrid schedules available Schedule:... ...this position. JOB SUMMARY The Global Quality Assurance Specialist will be a key member... ...resolving medical/dental/life/trip cancellation claim appeals; reviews and responds to appeals...Remote workClaimsCasual workH1bRelocationFlexible hours
$70k - $80k
Quality Improvement Specialist - Remote (Permanent) Looking to escape your long commute to work? Unlock your new remote working position with this exciting... ...Responsibilities The position involves developing claim editing and enforcement rules, configuration tasks such...Remote jobClaimsPermanent employment- A leading medical claims company based in the United States is seeking a Clinical Reviewer to evaluate and ensure the accuracy of medical... ...potential and flexible scheduling to align with your own availability while ensuring high-quality service to clients. #J-18808-LjbffrRemote workClaimsExtra incomeWork at officeFlexible hours
- CVS Health is looking for a Quality Specialist - Medicare D Quality to oversee clinical process reviews and ensure compliance with regulatory... ...include managing rework queues, troubleshooting claims, and fostering process improvements. Applicants should have at...Remote jobClaimsFull timeWork from home
- Job Summary We are seeking a QA Analyst to support testing efforts related to claims configuration, benefit setup, pricing, and adjudication within a healthcare payer environment. This individual will be responsible for executing test plans, validating configuration changes...Remote jobClaims
- ...Veterans Affairs is seeking a Decision Review Officer (Rating Quality Review Specialist) based in Manchester, NH. The role involves performing... ...in-process assessments, and ensuring compliance with veterans' claims standards. This position is essential for maintaining the...Remote jobClaimsFull time
$65k - $90k
Dane Street is seeking a Clinical (RN) QA Specialist in Washington, D.C. to ensure accuracy and compliance in long-term disability claims. This role involves assessing physician reports and providing excellent customer service by managing complex cases. Ideal candidates...Remote jobClaims- A leading insurance provider is seeking a Claims Quality Assurance Specialist to ensure the accuracy and compliance of claims processing. The specialist will conduct audits, collaborate with claims teams, and identify areas for improvement. Candidates should have a bachelor...Remote jobClaims
- ...Veterans Affairs is seeking a Decision Review Officer (Rating Quality Review Specialist) in Providence, Rhode Island. This position involves... ...quality reviews of DROs and RVSRs, conducting focused claims accuracy reviews, and preparing statistical data reports. You will...Remote jobClaimsFull time
$65k - $90k
...Clinical (RN) QA Specialist specializing in Disability to join our team. The role involves assessing long-term disability claims, ensuring quality of physician reports, and providing outstanding customer service. The ideal candidate will have an RN degree and 5+ years...Remote jobClaims$22 - $30 per hour
Dane Street, LLC is looking for a Disability Claims QA specializing in Long Term Disability claims. This role requires a strong background... ...offer competitive pay ranging from $22.00 to $30.00 per hour, remote work options, and a comprehensive benefits package including...Remote jobClaimsHourly pay- Integra Partners in Troy, Michigan is seeking a Claims Quality Assurance Analyst. This role involves monitoring and documenting production quality related to claims auditing and interactions within the Revenue Cycle Management (RCM) function. The ideal candidate should...Remote jobClaims
$20.19 - $31.8 per hour
...Candidates ONLY please: This position is remote, but requires training on-site for a period... ...circumstances of each case. Summary The Quality Assurance (QA) Specialist is responsible... ...; Guarantor change account; CEA report; Claim edits; DNB accounts. Works newborn accounts...Remote workClaimsHourly payFull timeLocal areaFlexible hoursShift work$36 per hour
...AuditorJob at a Glance Title: Sr. Medical Review Auditor Location: Columbia, SC Contract: W2... .... Coordinates rate adjustments with claims areas and provides monthly and quarterly... ...Skills WILL HAVE POTENTIAL FOR REMOTE WORK, BUT PREFERS ONSITE Can live anywhere...Remote workClaimsContract workWork experience placement$95k - $110k
...of the most comprehensive lines of high-quality hydraulic cartridge valves for the mobile... ...and methodological support during supplier claim management following escalation... ...execution of annual audit plans, including remote audits when applicable. Define and maintain...Remote workClaimsWork at office
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