Remote Provider Data & Claims Auditor III

CorVel Corporation

Remote job

CorVel is seeking a Provider Management Analyst to verify provider information and requests for documentation to audit claims, including itemized bills, medical records, UB04s, and HCFA forms. The role emphasizes accuracy, confidentiality of PHI/PII, and timely processing, with a remote work arrangement. The position requires high school education, strong organizational and analytical skills, and proficiency in MS Office. #J-18808-Ljbffr CorVel

Apply

Vacancy posted 3 days ago

Similar jobs that could be interesting for youBased on the Remote Provider Data & Claims Auditor III in Fort Worth, TX vacancy

TAX AUDITOR III - 79011436
$1,685.78 - $1,950.25 per month
...Regulation Working Title: TAX AUDITOR III - 79011436 Pay Plan: Career... ...can be attached to provide additional information. ***... ...used in verifying and analyzing data. Knowledge of basic mathematics... ...people can electronically file claims or ask questions. The email...
Data
Claims
For contractors
Work at office
Local area
State of Florida
Jacksonville, FL
8 days ago
Remote Payment Integrity Auditor - 258955
...Job Title: Payment Integrity Auditor / Data Mining Auditor Location: Remote Schedule: Full-time (40 hours/week) | Monday–Friday, 8... ...In this role, you will analyze paid medical claims data feeds received from providers on behalf of our health plan partners. Your...
Remote work
Data
Claims
Daily paid
Full time
Contract work
Monday to Friday
Medix™
Champaign, IL
3 days ago
Software Engineer III
$175k - $195k
...exceptional Software Engineer III to join our... ...records to rank healthcare providers across the country. We... ...who are comfortable with remote work and occasional... ...~ Familiarity with data security and HIPAA compliance... ...been contacted by someone claiming to be a Garner...
Remote work
Data
Claims
Work visa
Flexible hours
Garner Health
Oregon State
1 day ago
Certified Coding Auditor - Outpatient
...an outpatient Certified Coding Auditor to work in its New York office or remotely. Principal duties and responsibilities... ...and other qualified healthcare providers in the outpatient setting.... ...with both UB-04 and CMS 1500 claims data, as well as understanding of payor...
Remote work
Data
Claims
Work at office
Local area
Marwood Group
New York, NY
1 day ago
Quality Assurance Technician III
$35 per hour
...Quality Assurance Technician III Start Date: ASAP... ...Parsippany, New Jersey 07054 Remote/on-site/Hybrid: 100% on-site... ...Technician III is responsible for claim evaluations and conducts... ...per established protocols and provide accurate data. * Assist in making...
Remote work
Data
Claims
Immediate start
VBeyond
Parsippany, NJ
3 days ago
Specific Stop Loss Claim Auditor Intern
...detail-oriented Specific Stop Loss Claim Auditor Intern to join our growing team... ...Andover, MA since 1992, CBA provides audit services to carriers, managing... ...healthcare claims, insurance, data analysis, and auditing. The position is remote and approximately 20 hours per...
Remote work
Data
Claims
Part time
Internship
Work at office
Flexible hours
Brown & Brown
United States
2 days ago
Sr. Auditor, Health Plan
Overview Remote or Onsite Opportunity!Opportunities for you!... ...We know that our ability to provide the highest level of care is... ...Responsibilities The Senior Auditor oversees and performs... ...revenue cycle, cost reporting, claims, provider data, health plan, or clinical experience...
Remote work
Data
Claims
Community Medical Centers
Fresno, CA
2 days ago
Medical Coding Auditor
...growing managed service provider delivering innovative... ...experienced Medical Coding Auditor to support our... ...as is familiarity with data entry in a physician billing... ...billing platforms and claim workflows-how coding feeds... ...exerting up to 10 pounds of force. #LI-Remote
Remote work
Data
Claims
Xtensys Connected Health Solutions
United States
2 days ago
Machine Learning Task Auditor
$70 - $90 per hour
...and evaluation methodology. Provide clear, rubric-based written... ...quality and rigor. Assess ML claims against supporting evidence and... .... Strong understanding of data-quality rigor, including leakage... ...experience. Work Terms Remote, United States. Hourly...
Remote work
Data
Claims
Hourly pay
SaidGig
Remote
a month ago
Financial Systems Analyst
$90k - $159k
...to improve efficiency, strengthen controls, and resolve data integrity issues. Provide ad hoc analysis and reporting support to internal stakeholders... ...the hiring process. If you are contacted by someone claiming to represent us from a different email address, please...
Remote work
Data
Claims
Full time
Ethos - Remote United States of America
United States
1 day ago
Medical Claims Auditor (Remote - Texas)
$30.5k - $42.5k
...development. Summary The Medical Claims Auditor is responsible for reviewing... ...This role involves auditing provider-submitted claims, validating... ...correct billing and payment data. Identify and document... ...in this role This is a remote position for candidates residing...
Remote work
Data
Claims
Full time
Monday to Friday
Flexible hours
Gainwell Technologies
United States
2 days ago
Outpatient Auditor
...a talented individual for a remote Outpatient Coding Auditor (Professional and Facility),... ...which review services are being provided. This involves accessing... ...modifier codes. • Review claims to validate submitted codes and abstracted data including but not limited to...
Remote work
Data
Claims
Contract work
Work at office
Shift work
Jzanus Consulting, Inc.
United States
2 days ago
Rep RCM Accounts Receivable III
...ACCOUNTS RECEIVEABLE REP III REMOTE Company Overview: AMSURG is... ...focus on Workers' Compensation claims , which represent the... ...Vendor Clarification logs Provide employee and vendor training... ...problem-solving skills. Strong data gathering and reporting skills...
Remote job
Data
Claims
Full time
Local area
Amsurg Corp.
United States
14 days ago
Compliance Auditor
$26.72 - $29.26 per hour
...are seeking a Compliance Auditor to join our team. This is a remote position with 25% travel... ...focused audits based on data mining and analytic findings... ...documentation to ensure claims meet payer requirements... ...Merakey is a non-profit provider of developmental, behavioral...
Remote work
Data
Claims
Merakey
Lafayette Hill, PA
3 days ago
Provider Enrollment Coordinator
...Provider Enrollment Coordinator Our client, a Retail... ...Coordinator for their remote location. Responsibilities... ...Enrollment Coordinator III reports directly to the... ...programs. Resolve claims issues for individual payers... ...and specific data is maintained timely and...
Remote work
Data
Claims
Work experience placement
Local area
ICONMA
United States
2 days ago
Service Management Practice Analyst III
...The Service Management Analyst III provides leadership for enterprise... ...management maturity.This is a remote position and candidates must... ...focuses on delivering secure data access, mitigating fraud, and... ...pursuing any discrimination claim, or cooperating in related investigations...
Remote work
Data
Claims
Work at office
Local area
Jack Henry & Associates
Louisville, KY
3 days ago
Inpatient Medical Coding Auditor
$71.1k - $97.8k
...Inpatient Medical Coding Auditor extracts clinical information... ...of situations or data requires an in-depth evaluation... ...inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented... ...make an impactWORK STYLE: Remote/work at home. While this...
Remote work
Data
Claims
Bi-weekly pay
Full time
Contract work
Temporary work
Apprenticeship
Work at office
Work from home
Home office
Monday to Friday
Humana
Jackson, MS
16 hours ago
Inpatient Coding Auditor
$38.46 - $52.4 per hour
...Remote Chicago - 550 Van Buren North Carolina... ...and reduce the cost of providing patient care. Investing... ...The Inpatient Coding Auditor will be responsible for... ...is initiated before the claim is rebilled to the insurance... ...could impact quality data and hospital reimbursement...
Remote work
Data
Claims
Hourly pay
Permanent employment
Full time
Work at office
Local area
Immediate start
Flexible hours
Day shift
Huron Consulting Group
Boise, ID
4 days ago
PRODUCT MANAGER III
$82k - $102.5k
...Product Manager III At TE Connectivity, you will... ...with all major Cloud providers and Enterprise customers... ...deliver next-generation data and power solutions to... ...organizations falsely claiming to represent TE Connectivity... ...25% Requisition ID: 157538 Workplace Type: Remote...
Remote work
Data
Claims
Local area
TE Connectivity
United States
4 days ago
Data Scientist III
$107.7k - $199.3k
...Centene is hiring a Data Scientist III for an onsite role in Missouri , supporting Ambetter... ...SAS, R , and other tools, including provider, claims, and membership data Manage... ...holidays ~ Flexible approach to work with remote, hybrid, field, or office work...
Remote work
Data
Claims
H1b
Work at office
Flexible hours
Shift work
Centene Corporation
Saint Louis, MO
3 days ago
Med Records Coder III
$21.78 - $30.53 per hour
...Med Records Coder III As a community, the University... .... Job Location: Remote Work - New York, Albany,... ...not limited to, market data, education, experience,... ...Resolves problems with claims having errors related to improper coding and provides feedback for correction...
Remote work
Data
Claims
Hourly pay
Full time
Work at office
Local area
Shift work
University of Rochester
Albany, NY
4 days ago
Software Engineer III
...The Software Engineer III, under general supervision... ....This is a remote position and candidates... ...software into production. Provides technical/engineering support... ...focuses on delivering secure data access, mitigating... ...pursuing any discrimination claim, or cooperating in...
Remote work
Data
Claims
Permanent employment
H1b
Work at office
Local area
Jack Henry & Associates
Allen, TX
16 hours ago
CIC Asset Manager III
$93k - $189k
...Chicago but we will consider remote for the right candidate... ...Credit Asset Manager III will manage a portfolio... ...independently, will provide mentorship for less... ...benefits are properly claimed on partnership tax returns... ...forming and presenting data driven conclusions to Credit...
Remote work
Data
Claims
Permanent employment
Full time
For contractors
Work at office
Local area
Work from home
Flexible hours
The Huntington National Bank
Grand Rapids, MI
3 days ago
Auditor II (Retail)
$29 - $35 per hour
...be part of a team that provides opportunities for career... ...team as an Retail Auditor II. Responsibilities:... ...validating large amounts of data and delivering results... ...generate new ideas for claim concepts and recovery opportunities... ...to our Careers page. #LI-JB1 #senior #LI-Remote...
Remote work
Data
Claims
Full time
Contract work
Work at office
Cotiviti
Remote
5 days ago
DevOps Engineer III: Linux / Automation
...development teams.As a Level III engineer, you will also... ...standards.This is a remote position and candidates... ...on delivering secure data access, mitigating... ...and we are committed to providing equal opportunity in all... ...pursuing any discrimination claim, or cooperating in...
Remote work
Data
Claims
Permanent employment
H1b
Work at office
Local area
Jack Henry & Associates
Allen, TX
3 days ago
Auditor I (Retail)
$22.5 - $29 per hour
...: We're looking for an Auditor 1 to join our Retail audit... .... This job can be US-remote or Canada (Ontario area... ...be part of a team that provides opportunities for... ...validating large amounts of data, and delivering results... ...generate new ideas for claim concepts and recovery opportunities...
Remote work
Data
Claims
Full time
Contract work
Work experience placement
Work at office
Cotiviti
Remote
5 days ago
Project Engineer III
...with our commitment to provide the best place to work... ...projects in rural and remote locations nationwide. We... ...As the Project Engineer III, you will work on-site... ...plans development and data entry into RMS or comparable... ...to the Alaska Native Claims Settlement Act, in...
Remote work
Data
Claims
Full time
Contract work
For subcontractor
Work at office
Local area
Weekend work
Afternoon shift
Calista Brice
Anchorage, AK
3 days ago
Clm Resltion Rep III, Hosp/Prv
$20.3 - $27.41 per hour
...Claims Resolution Representative III As a community, the University of Rochester is defined... ...where all can thrive. Remote Work - New York, Albany,... ...not limited to, market data, education, experience, qualifications... ...incomplete information to providers and department...
Remote work
Data
Claims
Hourly pay
Full time
Work at office
Local area
University of Rochester
Rochester, NY
4 days ago
Financial Investigator III
...Financial Investigator III to detect, analyze, and... ...Group. Conducts research, data analysis, and... ...to alleged fraudulent claims. When requested by management... ...Searches claims and provider systems to identify claims... ...Wednesday, and Thursday) and remotely two days a week (Monday...
Remote work
Data
Claims
Work at office
Monday to Friday
2 days per week
3 days per week
Independence
Philadelphia, PA
4 days ago
ENVIRONMENTAL SPECIALIST III
...ENVIRONMENTAL SPECIALIST III - 42002034 FLORIDA... ...applicants are required to provide honest and authentic... ...aircraft and/or through remote sensing techniques, followed... ...enters all collected data into the survey... ...requirements. Candidates claiming Veterans’ Preference must...
Remote work
Data
Claims
For contractors
Monday to Friday
State of Florida
Tallahassee, FL
1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Provider Data & Claims Auditor III. Be the first to apply!