Claims Audit Specialist - BCI & Training
Highmark Health Company
Highmark Inc. is seeking a claims auditing professional to ensure compliance with internal procedures, review plan wording, and monitor audit workflows. You will record results, train staff, and advise on dollar authorizations while supporting SOC, carrier, vendor, and employer audits as needed. The role requires 5 years of claims processing experience in medical, dental, vision, FSA, and HRA, with strong CPT/ICD coding knowledge. Strong communication and independence are essential. #J-18808-Ljbffr Highmark Health Company
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$21.96 per hour
...required of this position. ADA E1. Ensure all claims are handled according to all internal... ...summary. E2. Monitor workflow of audits to ensure timely turnaround time. Identify... ...with the supervisor to create and conduct training sessions for issues identified by the management...TrainingFor contractorsTraineeshipLocal area$35 - $45 per hour
...change in healthcare. Sign On Bonus: 2,500 As an Inpatient Auditing Specialist, you will be instrumental in addressing consulting and... ...monitor, laptop, mouse, headset, and keyboard Comprehensive training led by a credentialed professional coding manager Exceptional...TrainingHourly payFull timeRemote workRelocation packageFlexible hours$19.39 - $24.19 per hour
...and final adjudication of paper/electronic claims. Determines whether to return, deny or... ...which could be a result of internal/external audits, member/provider phone calls, other... ...timekeeping records and attends all required training classes.Other duties as assigned or...TrainingFor contractorsLocal area$46.95k - $54.55k
...PIP Claims Assistant The MCS department is searching for a PIP Claims Assistant. Reporting directly to the PIP Administrator/Supervisor... ...-9am pending supervisory approval. Hybrid opportunity after training is completed (3 days in office, 2 days remote) Essential...TrainingFull timeWork at officeRemote workMonday to Friday- ...relationships, serving as the go-to expert for all tax-related matters concerning trusts and estates. Team Leadership: Inspire, train, and mentor junior tax staff, fostering a collaborative and supportive work environment, and ensuring the team is well-versed in the...TrainingCasual workWork at officeFlexible hours
- Liberty Mutual Insurance is seeking an Auto Claims Representative in Marlton, NJ to join a Fortune 100 company with paid training and licensing included. You'll guide insureds and claimants through the auto claims process from intake to resolution, delivering empathetic...Training
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$20 - $30 per hour
...retirement plans with up to 8% company match. Up to $1.5K in free tools for our new auto techs. Career growth through Cox Auto University training, opportunity for GED reimbursement, free ASE training/certification and more! Flexible work schedules with overtime opportunities....TrainingHourly payFull timeRemote workFlexible hoursShift work$54k - $103k
...direction and within defined authority limits to manage commercial claims of moderate to high complexity and exposure within the... ...handling. Candidates who have successfully completed the CNA Claim Training Program may be considered after 2 years of claim handling experience...TrainingWork experience placementWork at officeLocal areaFlexible hours2 days per week$92.48k - $160.29k
...you will be part of the US Life Underwriting Risk Management and Audit team, providing independent and objective quality assurance of... ..., and opportunities for continuous improvement and training are identified.The ideal candidate brings deep life insurance underwriting...TrainingFull timeTemporary workLocal areaRemote workFlexible hours- ...and provide ongoing customer support Build strong professional relationships with clients and team members Participate in virtual training and team meetings Stay current on benefit offerings, enrollment procedures, and company guidelines Maintain a professional and customer...TrainingRemote jobFull time
$20 - $25 per hour
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...our clients for any possible tax-related audits that may occur Supervise and review work... ...offers a wide range of mentoring, training and professional development opportunities... ...professionals around the world. Our industry specialists deliver tailored services to a wide...TrainingFull timeSummer workH1bWork at officeLocal areaFlexible hours$28.74 - $36.72 per hour
...Participate in pilot testing, projects, and experience validations, as needed. Must be willing and able to complete all required training and development as determined by the business including, but not limited to, compliance trainings, proficiency-based up-skilling,...Training$22.3 - $28.49 per hour
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...BI Litigation Claims Specialist CURE Auto Insurance is a leading direct writer of auto insurance in New Jersey, Pennsylvania, and Michigan... ...: Detroit, MI or Princeton, NJ We recruit, hire, employ, train and promote, and compensate individuals based on job-related...TrainingWork at officeLocal areaRemote workWork visaFlexible hours1 day per week$58.24k - $76.96k
...PIP Claims Representative CURE Auto Insurance is a leading direct writer of auto insurance in New Jersey, Pennsylvania, and Michigan... ...Location: Detroit, MI or Princeton, NJ We recruit, hire, employ, train and promote, and compensate individuals based on job-related...TrainingWork at officeLocal areaRemote workWork visaFlexible hours1 day per week$70k - $100k
...state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. Powered by JazzHR mork5ToWYA #J-18808-Ljbffr...TrainingFull timeContract workTemporary workWork at officeLocal areaRemote workFlexible hours$100k
...management and financial services. NEIS, LLC a leader in the insurance audit and loss control prevention industry since 1945 is seeking a... ...package with health, dental, vision, 401k and more Exceptional training program Flexible schedule Continuing education reimbursements...TrainingHourly payWeekly payLocal areaWork from homeFlexible hours- ...ensuring quality, accuracy, and timely completion of deliverables.Review the work of staff and senior team members, providing guidance, training, and constructive feedback.Identify tax planning opportunities and proactively communicate strategies that create value for...TrainingWork at office
$90k - $110k
...more thorough understanding of the Company's clinical, actuarial, claims and distribution departments, all of which will advance the... ...authority. Establish the basics of medical underwriting by training with and learning from the Company's internal Clinical Underwriting...TrainingFull timeWork at officeRemote work$71.1k - $97.8k
...coding auditor to review inpatient hospital claims for proper reimbursement, handle... ...occasional travel to Humana's offices for training or meetings may be required. WORK HOURS... ...qualifications for 4 years) • MS-DRG coding/auditing experience • Experience reading and...TrainingBi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday$35 per hour
...FAMILY!ESTABLISHED CLIENTELE in a busy salon.HAIRCUTS - COLOR - WAXING - TREATMENTSPAY: Up to $35 per hourEDUCATION:Over 50 hours PAID TRAINING in the first 3 months - with advanced cutting & color classes at our Hairstylist Academy.We have the LARGEST EDUCATION TEAM in the...TrainingBase plus commissionPart timeImmediate startFlexible hoursAfternoon shift$50k - $125k
...set, meet, and exceed client expectations Incorporate and regularly practice techniques and strategies introduced through sales training to continuously enhance skills and related performance Identify and develop expertise in target industry niches by joining and...TrainingFull time$23 - $30 per hour
Auto Claims Representative - First Notice of Loss CURE Auto Insurance is a leading direct writer of auto insurance in New Jersey, Pennsylvania... ...while maintaining quality standards. Continually attend training modules to grow within the position. Maintain a high level of...TrainingHourly payWork at officeLocal areaRemote workWork visaFlexible hours1 day per week$16 - $19 per hour
...school.IMPORTANT REQUIREMENT To be considered for any teaching position, applicants must be comfortable with diaper changing and potty training. These are required responsibilities of the position. Training will be provided. Teachers may be assigned to different age groups...TrainingHourly payFull timePart timeImmediate startShift work$50k - $110k
...dental and vision Industry comparable pay – paid weekly Paid vacation & holidays – can begin accruing day 1 Paid skilled trainings and certifications – I-CAR Career growth opportunities – we promote from within! Requirements: ~2+ years of collision...TrainingWeekly payImmediate start
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