Medical/Dental Claims Auditor | Audit & Compliance
Southwest Service Administrators Inc
Southwest Service Administrators, Inc. is seeking a Claims Auditor in Phoenix, AZ to perform audit activities for medical and dental claims and support the team manager with statistical reports and documentation.
The role requires three years of claims analysis experience, strong knowledge of medical terminology and CPT/ICD codes, and proficiency in MS Excel and Word. Health benefits and a comprehensive compensation package are offered.
#J-18808-Ljbffr- Southwest Service Administrators Inc is seeking a Claims Auditor to lead audit activities for medical and dental claims and support the team manager with statistical reports and documentation. The role requires three years of recent medical claim analysis experience, strong...MedicalDentalClaimsFull time
$59.3k - $80.9k
...our caring community The Medical Coding Auditor reviews medical claims submitted against... ...peer reviews to ensure compliance with coding guidelines and... ...experience Outpatient facility auditing experience Experience... ...provides medical, dental and vision benefits, 401...MedicalDentalClaimsBi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday$19 - $25.5 per hour
...Phoenix, AZ, Salary Range: $19.00 - $25.50, The Claims Auditor is responsible for all audit activities for medical and/or dental claims while supporting the team manager to... ...working knowledge of Policies, Procedures, Compliance Regulations, Schedule of Benefits and...MedicalDentalClaimsTemporary workLocal area- Redirect Health in Phoenix is seeking a Dedicated Claims Auditor to oversee medical and pharmacy claims auditing practices for our members. You will help ensure payment... ...We offer free healthcare for you and your family, dental and vision coverage, a 401(k), and a mission-...MedicalDentalClaims
$50k - $55k
...No deductibles No surprise medical bills Most team members avoid... ...for a Dedicated Claims Auditor. Are you a healthcare professional... ...medical and pharmacy claims auditing practices for our members. This... ...you and your entire family Dental & Vision insurance Paid time...MedicalDentalClaimsContract work$21.96 per hour
...of this position. ADA E1. Ensure all claims are handled according to all internal operating... ...summary. E2. Monitor workflow of audits to ensure timely turnaround time. Identify... ...GED: Required Experience: 5 years prior medical dental, vision, FSA and HRA claims processing...MedicalDentalClaimsFor contractorsTraineeshipLocal area$63.2k - $70k
...Make-A-Wish America Compliance Team MemberOur vision is to grant the wish of every eligible... ...will conduct chapter compliance audits and clearly communicate findings and... ...OfferBenefitsComprehensive benefit package, effective day 1: Medical, Vision*, Dental*, WellnessCompetitive compensation...MedicalDentalTemporary workWork experience placementWork at officeRemote workVisa sponsorshipWork visaMonday to FridayFlexible hours$22 per hour
...mitigation law firm, that is hiring a Compliance Auditor for its Phoenix office. The firm specializes... ...applications and manual checklists. Audit invoices quickly and accurately.... ...access to healthcare benefits including medical, dental, and vision as well as a 401(k) plan....MedicalDentalHourly payTemporary workWork at officeFlexible hours$60k - $70k
...Phoenix area is seeking a qualified Staff Auditor to join their team. The candidate will perform financial, operational, and compliance audits, verify the accuracy of financial... ...of $60K-$70K, plus benefits including medical, dental, vision, and a 401K plan. #J-18808-Ljbffr...MedicalDentalLocal area- ...performance, risk management, contract compliance, contract negotiation, and claims management.The ideal candidate... ...operational controls and support audit processes• Ensure adherence to... ...with company matchComprehensive medical, dental, and vision benefitsMental health...MedicalDentalClaimsContract workFor subcontractor
- ...build a career, KPMG provides audit, tax and advisory services... ...management (all or some processes), claims support and management,... ...includes a variety of medical and dental plans, vision coverage, disability... ...regarding KPMG's compliance with federal, state and local...MedicalDentalClaimsContract workWork at officeLocal area
- ...performance, risk management, contract compliance, contract negotiation, and claims management. The ideal candidate... ...operational controls and support audit processes Ensure adherence to... ...company match Comprehensive medical, dental, and vision benefits Mental health...MedicalDentalClaimsContract workFor subcontractor
- ...looking for an Insurance Compliance & Regulatory Senior Lead... ...Responses: Manage carrier audits and state regulatory complaint... .... Carrier Relationship & Claims Support: Serve as the primary... ...Benefits: Comprehensive medical, dental, vision insurance, and 401(k...MedicalDentalClaimsHourly payFull timeContract workPart timeFreelanceLocal areaRemote workWork from home
$121.3k - $182.1k
...quarterly basis complete an audit of select projects that have... ...gone through BOURC review for compliance with go conditions. Use this... ...with respect to number of claims and financial impacts. Keep... ...hours per week) have access to medical, dental, and vision plans, a...MedicalDentalClaimsFull timeTemporary workPart timeCasual workWork at officeLocal areaFlexible hours- ...credentialing, billing, support, EHR, audits, and compliance) so that you can focus on... ...need to worry about unpaid claims Rula pays you even when the... ...42 CFR Part 2 and have a Medical Records team to handle all... ...and CE credits. . Health, dental, vision, and life insurance...MedicalDentalClaimsRemote jobContract workPart timePrivate practice
$181.57k - $241.48k
...management, insurance, surety, claims, contractual risk... ..., and regulatory compliance. Participate in major... ...practices. Oversee insurance audits and ensure accurate... ..., legal counsel, auditors, and tax advisors to develop... ...) are eligible for medical, dental, vision, basic life...MedicalDentalClaimsRemote jobContract work- ...Redirect Health Inc. in Phoenix, AZ is seeking a Dedicated Claims Auditor to oversee and ensure comprehensive medical and pharmacy claims auditing practices for our members. You will identify overpayments, analyze trends, and support recovery efforts to sustain our 0%...MedicalClaims
- ...Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations... ...accuracy, proper documentation, and compliance with state, federal, and company... ...of medical/behavioral health coding and auditing experience, plus proficiency in CPT, HCPCS...MedicalClaims
- ...and Workers Compensation claims, improve execution of... ...protection, safety, and company audits by reviewing digital,... ...are achieved. Ensures compliance programs are in place... ...the following:3 Medical Plans.Employer Funded Health... ...Account (HRA).3 Dental Plans.Vision Plan.401K...MedicalDentalClaimsWork at officeLocal areaRemote workLong distance
- ...to: Customer Service, Claims Processors, and Correspondence... ...Clinical Trainer and Auditor is responsible for... ...NCQA Surveys, CMS Program Audit, and/or AHCCCS... ...models ~ Knowledge of medical and care management models... ...Ongoing professional growth, compliance, and regulatory...MedicalClaimsFull timeWork experience placementRemote work1 day per week
$80k - $120k
...Assigned tasks, projects, and audits may report to different... ...business unit leadership, risk/compliance partners, vendors, and within... ...Management, and External Auditors. Support responses to regulatory... ...healthcare coverage (medical, dental, and vision plans), a 401(k)...MedicalDentalLocal areaRemote workShift work- ...IT Risk & Controls Auditor – Digital Asset Anywhere Type:... ...Digital Assets team by providing audit and assurance support across... ...financial reporting, compliance, and operational processes,... ...discipline. Benefits ~ Medical, Dental, and Vision benefits ~401k...MedicalDentalHourly payLocal areaRemote work
$95k - $106k
...Title: Senior Internal Auditor (not IT and not an Accounting job... ...Senior Manager, Internal Audit, you will be working at our... ...to support the client’s SOX compliance program, including completing... ...software What we offer: ~ Medical, Dental & Vision ~ Eligible for...MedicalDentalPermanent employmentWork at officeWork from homeHome office- Highmark Inc. is seeking an experienced claims auditor to ensure all medical, dental, vision, FSA and HRA claims are processed according to internal procedures and plan documents. You will monitor audits, coach staff, and ensure timely turnaround while maintaining quality...MedicalDentalClaims
$63.18k - $94.77k
...MANAGEMENT SERVICES Division: FM TAX COMPLIANCE Opening Date: 10/15/2026... ...position of Tax Compliance Auditor I . With every job we fill,... ...is to perform assigned audits, projects, provide legal advice... ...positions that includes medical and dental insurance, life insurance, disability...DentalFull timeWork experience placementLive outLocal areaRemote work$65k
...communication with clients, medical providers, and insurance adjusters... ...and bills. Ensure strict compliance with deadlines, statutes, and... ..., negotiation strategy, and claim preparation. Coordinate... ...Full benefits package (health, dental, vision, PTO). xhmxlyz How...MedicalDentalClaimsFull time$85k - $150k
...Competitive pay + generous PTO ~ Medical, dental & vision starting day one ~401(k)... ...We are seeking a Senior Internal Auditor to lead complex audit engagements and provide independent... ...for key business areas. Evaluate compliance with regulatory requirements, internal...MedicalDentalWork at officeRemote workWeekend work$201.82k - $322.71k
...business and staff personnel and ensure compliance with ethical standards in all... ...requests from firm lawyers, managers, claims counsel and various firm committees.Analyze... ...annual discretionary bonus, 401(k) plan, medical, dental, and vision insurance, accrued paid time...MedicalDentalClaimsFull time- ...United States. CBIZ CPAs is an independent CPA firm that provides audit, review and attest services, while CBIZ provides business... ...ability to analyze, review, interpret, and summarize detailed medical claims and enrollment data Independently determines methodologies and...MedicalClaimsWork at officeLocal area
$146.25k - $223.66k
...also eligible for a competitive benefits package that includes: medical, dental, vision, life, and disability insurance; 401(k) retirement... ...participate in the investigation of any complaint or discrimination claim.The "Know Your Rights" Poster is included here:Know Your...MedicalDentalClaimsFull timeTemporary work
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