Senior Health Claims Auditor & Policy Analyst
Accenture PLC
Accenture plc Health Operations is seeking a Senior Analyst to enhance claims editing and auditing processes, reviewing edits, codes, and dispositions to ensure policy alignment. The role researches medical policies, investigates complex claims, and collaborates with customers and internal teams to identify solutions. The position supports claims processing, customer auditing programs, and the development and maintenance of standard operating procedures and work instructions, while managing #J-18808-Ljbffr Accenture PLC
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...involving coding and billing audits, disputes, claims analysis, investigations, compliance... ..., billing data, reimbursement data, policies, and contracts for accuracy, support, and... ...collections, and patient responsibility.Review health plan provider contracts, reimbursement...ClaimsFull timeContract workLocal areaFlexible hours- Corewell Health is looking for a skilled individual to oversee the billing and collection processes in Royal Oak, Michigan. This role is responsible for ensuring accurate claim submissions and supervising the billing team. The ideal candidate will have at least 5 years...SeniorClaimsFull timeMonday to Friday
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$37 per hour
Senior Care Specialist (Registered Nurse) Work From Home Job title Senior Care Specialist... ..., provider solutions, payment integrity, claims cost containment, and analytics. Sagility... ...countries. What You Will Do Conduct telephonic health assessments for Medicare, Medicaid, and/...SeniorClaimsHourly payDaily paidSeasonal workRemote workWork from home- ...Description Job Description Senior Auditor Employment Type: Full Time... ...staff by conducting medical claims data analysis, forensic... ...litigation consulting, and/or health care fraud analysis required.... ...investigation, and other applicable policies required to support criminal...SeniorClaimsFull timeFlexible hours
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The Health Operations Senior Analyst supports the accuracy and effectiveness of healthcare claims editing and auditing processes. This role reviews edit and audit groupings to... ...dispositions in alignment with customer policies and requirements. The Senior Analyst researches...SeniorClaimsHourly payLive inWork at officeLocal area- ...delivery leader who combines strong health payer industry knowledge,... ...trusted relationships with senior client executives.As an Accenture... ...core payer processes such as claims, enrollment and eligibility, benefits... ...and Affirmative Action Policy StatementAccenture is an EEO and...SeniorClaimsWork experience placementLive inWork at officeLocal area
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A global engineering and consultancy firm is looking for a Workers' Compensation Claims Specialist in Detroit, Michigan. This role requires overseeing the entire claims process, ensuring compliance with regulations, and facilitating clear communication between all parties...SeniorClaims- ...Job Highlights Title: Senior Internal Auditor Type: Full Time Experience: 2+ Years Function... ...Advise leadership on best practices, policy improvements, and risk mitigation.... ...The company offers various perks and health benefits to all eligible employees....SeniorFull timeWork experience placement
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