Payment Integrity Analyst II: Claims Audit Expert
$66.94k - $101.26kCERIS
A healthcare solutions provider is seeking a Payment Integrity Analyst to conduct pre‑pay and post‑pay claim audits. The ideal candidate will have a current LPN, LVN, or RN licensure, along with strong analytical skills and a background in healthcare revenue cycles. Responsibilities include reviewing compliance with client policies and CMS guidelines and utilizing clinical judgment in audit processes. This role offers a salary range of $66,941 – $101,258 with opportunities for professional growth. #J-18808-Ljbffr CERIS
$66.94k - $101.26k
Description The Payment Integrity Analyst is responsible for accurately reviewing and completing pre‑pay and post‑pay claim audits based on client, policy, industry standards and/or CMS guidelines... ...at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires...ClaimsMinimum wageFull timeWork experience placementWork at officeLocal areaFlexible hours$15.26 - $23.28 per hour
...The Provider Management Analyst is responsible for... ...for documentation to audit claims including but not limited... ...For leveled roles (I, II, III, Senior, Lead, etc... ...in healthcare payments. We are a stable and growing... ...Commitment, Excellence, Integrity and Teamwork (ACE-IT!)...ClaimsHourly payMinimum wageFull timeLocal areaRemote workFlexible hours- ...Fort Worth, Texas is seeking an experienced Information Security Analyst II to safeguard sensitive data and systems from cyber threats. You... ...for security incidents, conduct risk assessments, and support audits while developing security policies in accordance with industry...Suggested
- ...Group is seeking a detail-oriented, high-accountability Auto Claims Payment Specialistto manage and execute the final stage of our auto... ...is critical to protecting company capital, maintaining audit integrity, and ensuring repair facilities and customers receive accurate...ClaimsContract work
- ...The Payment Integrity Supervisor is responsible for the daily activities of... ...requests, interdepartmental quality audits and appeals. Additionally,... ...: Strong understanding of claims processing, ICD-10 Coding, DRG... ...time. For leveled roles (I, II, III, Senior, Lead, etc.) new...ClaimsDaily paidMinimum wageFull timeWork experience placementWork at officeLocal areaRemote workFlexible hours
- ...A healthcare provider for children in Texas is seeking an HIM Coder Analyst II to accurately code medical records, ensuring compliance with ICD-10-CM and CPT guidelines. This role requires attention to detail and collaboration with healthcare professionals to improve...Remote work
- A healthcare services division is seeking a Payment Integrity Supervisor to oversee a remote team focusing on quality assurance and provider... ...Nursing, 5+ years of relevant experience, and strong knowledge of claims processing and healthcare reimbursement. This role offers a...ClaimsRemote work
- ...leading healthcare solutions firm seeks a Payment Integrity Supervisor to oversee daily operations... ...also ensure compliance with healthcare auditing standards and maintain a focus on... ...position requires strong experience in claims processing and excellent communication...ClaimsDaily paidRemote work
$19.21 - $28.73 per hour
...Quality Assurance Analyst is responsible for... ...monitoring repricing audit data across... ...understanding of repricing claims processing, and... ...leveled roles (I, II, III, Senior, Lead... ...in healthcare payments. We are a stable and... ...Commitment, Excellence, Integrity and Teamwork (ACE-...ClaimsHourly payMinimum wageFull timeWork at officeLocal areaRemote workFlexible hours- A financial institution is seeking an experienced Cyber Security Analyst II in Fort Worth, Texas. This position focuses on safeguarding sensitive data through vulnerability management and requires strong problem-solving skills along with a technical background in cybersecurity...
$87k - $165.5k
...Insurance Product Analyst II, State Management Working at General Motors Insurance is a... ...every stepfrom quote to policy servicing to claims. You'll collaborate across GM's... ...documentation standards and can demonstrate integrity while successfully managing work demands...ClaimsFull timeWork experience placementWork at officeRemote workVisa sponsorship- ...Credit Services Business Analyst II Fort Worth, TX, US, 76102 Tulsa, OK, US, 74101 Req... ...Interest: Oil & Gas/Mineral Management; Audit; Bank Operations Pay Transparency Salary... ...throughout the department to maintain the integrity of the systems; works as a business partner...Local area
- XPO in North Richland Hills, Texas is seeking an Analyst for Claims to analyze and manage cargo claims while ensuring compliance with legal regulations. As part of a top transportation service provider, you will play a critical role in investigating claims, collaborating...Claims
- ...Account Specialist II, Insurance Follow-Up & Denials Management Location: Calmont Operations... ..., and resolution of outstanding insurance claims; initiation of the appeals process on... ...data related to claims adjudication and payment trend analyses; performs all required...ClaimsWork at officeShift workDay shift
- ...The Warehouse Team Member II provides a well-stocked and organized... ...warehouse reporting and claims Operate a forklift and motor... ...needed Collect and handle payments on account, which may include... ...Backup driver Operate with integrity and demonstrate a positive attitude...ClaimsLocal area
- ...The Warehouse Team Member II provides a well-stocked and organized... ...warehouse reporting and claims Operate a forklift and motor... ...needed Collect and handle payments on account, which may include... ...Backup driver Operate with integrity and demonstrate a positive attitude...ClaimsLocal area
- Overview The Account Specialist II, Insurance Follow‑Up & Denials Management is responsible... ..., and resolution of outstanding insurance claims; initiation of the appeals process on... ...volume data related to claims adjudication and payment trend analyses; performs all required...ClaimsWork at officeShift workDay shift
- ...Hours 40 Summary The Account Specialist II, Insurance Follow-Up & Denials Management... ..., and resolution of outstanding insurance claims; initiation of the appeals process on behalf... ...various insurance companies while identifying payment trends in an effort to maximize collection...ClaimsShift workDay shift
- ...career with us. Job Description The Information Security Analyst II is responsible for safeguarding the bank's sensitive data,... ...respond to security incidents, perform risk assessments, support audits and the implementation and management of security policies and...Contract workLocal areaImmediate start
- ...Responsibilities About the role The Data Analyst II supports the Credit Review department by... ...team member will serve as a technical expert for the department and will collaborate... ...that welcomes innovative ideas, fosters integrity, and creates a sense of community and...Work experience placementWork at officeVisa sponsorshipFlexible hours2 days per week
$95.86k - $208.27k
...Advisory. KPMG is currently seeking a Senior Specialist, SOC Analyst Level II to join our Advisory Services practice.... ...detection quality, performance, or incident visibility Act with integrity, professionalism, and personal responsibility to uphold KPMG...H1bLocal areaShift workNight shiftWeekend work- ...Description We are seeking an IOC Reliability & Observability Analyst II to support our 24/7 HPC Data Center Operations. The role performs... ...‑driven workflows). Experience ensuring operational data integrity across ticketing systems, incident records, and dashboards. Strong...Full timeWork experience placementShift workNight shiftRotating shift
- Headstart Warranty Group seeks an Auto Claims Payment Specialist in Texas. This role is essential for processing payments during the auto claims lifecycle, ensuring audit integrity, and timely support for customers and repair facilities. Candidates should have 2+ years...Claims
- A leading payment processing company in Fort Worth, Texas, is seeking an individual motivated to monitor and minimize... ...a high school diploma. Responsibilities include auditing merchant activity and maintaining data integrity. The company offers generous benefits such as...
$54.92k - $107.1k
...JOB DESCRIPTION Provides analyst‑level support for Configuration Information Management (CIM) activities, including Directed Payment Program (DPP) and Atlis pricing oversight, ensuring... ...of configuration data within claims and operational systems. Responsible for...ClaimsContract workWork experience placementWork at office- ...our culture — an environment that welcomes new ideas, fosters integrity and creates a sense of community and belonging. Here we do more... ...move and connect people to what matters About the role: Risk Analyst II - Credit Risk Analytics is responsible for analyzing credit...
- ...our culture — an environment that welcomes new ideas, fosters integrity and creates a sense of community and belonging. Here we do more... ...move and connect people to what matters About The Role Risk Analyst II - Credit Risk Analytics is responsible for analyzing credit risk...Work experience placementWork at officeFlexible hours2 days per week
- ...Analyst, Claims - Hybrid Requisition Id: 387439 Business Unit: LTL Location: North Richland Hills, TX, US, 76180 What you'... ...ten global provider of transportation services, with a highly integrated network of people, technology and physical assets. At XPO,...Claims
- ...Business Analyst Location: Fort Worth, TX Position Type: Full Time Interview Mode:... ...related EHS software's implementation for Claims and Safety ~ Business Requirements Management... ...Test EHS STAR (Enablon) Release for Phase II release ~ Configuration ~ Interface...ClaimsFull time
$47.17k - $80k
...Join to apply for the People Analytics Analyst role at Jack Henry . At Jack Henry,... ...groundwork for the future of digital banking and payments. We hope you’ll join us. We can’t do it... ...of any kind, pursuing any discrimination claim, or cooperating in related investigations...ClaimsFull timeLocal areaRemote work
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