Medicare Claims QA Auditor — Billing & Excel Expert
Torrey Holistics
Torrey Holistics is looking for a candidate with strong billing experience to audit claims processed automatically through their system. The chosen candidate will ensure that claims are billed and paid correctly, working within a team that is expanding due to growth. Key qualifications include Medicare experience and proficiency in Excel functions like Vlookups and Pivot Tables. The role offers a 37.5 hour work week, Monday to Thursday in-office with remote Fridays available. #J-18808-Ljbffr Torrey Holistics
- ...RN Clinical Auditor Smithfield, RI - Smithfield, RI 02917 Overview... ...comprehensive review of claim data and/or medical record documentation... ...or potentially fraudulent billing patterns. The RN Clinical... ...Microsoft Office Excellent written and verbal communication...ClaimsFull timeContract workWork at officeShift work
$70k - $75k
...apply. As an Attorney Auditor at Sedgwick, you’ll... ...company known for its excellence and customer service.... ...broad, global network of experts to both learn from and... ...client specified billing guidelines and/or Generally... ...’s leading risk and claims administration partner...ClaimsLocal areaRemote workWork from homeFlexible hours- Billing experience - understand what your entering and why. Analysis driven (not looking... ...for data entry)**random samples of claims- prof, bh, etc. **Medicare experience is highly... ...truly open to all types of billingDecent excel skills is fine, willing to train on pivots...ClaimsContract workWork at officeRemote workFlexible hours
$71.1k - $97.8k
...The Inpatient Medical Coding Auditor extracts clinical information... ...to review inpatient hospital claims for proper reimbursement, handle... ...Programs Word, PowerPoint, and Excel • Strong attention to detail... ...quality of life for people with Medicare and Medicaid, families,...ClaimsBi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to Friday$86.3k - $118.7k
...records ensuring appropriateness of billing practices. Prepares complex investigative... ...Office desktop applications (Word, Excel, PowerPoint, Visio, Project)... ...auditing experience of dental related claims ~ Knowledge of Medicare regulations ~ Knowledge of Medicaid...ClaimsFull timeTemporary workFor contractorsRemote workWork from homeHome officeMonday to Friday- ...vision, depth perception, and the ability to adjust focus Demonstrated ability to work independently with minimal supervision Excellent organizational skills Demonstrated ability to analyze and interpret information LIMITATIONS AND DISCLAIMER The above...
$22.3 - $35.2 per hour
...accurate and timely processing of claims, including denials and the... ...improve cash flow. Coordinate with billing team to ensure insurance... ...knowledge of ICD-10-CM, CPT, HCPCS, Medicare, Medicaid, Managed Care... ...Microsoft Office, especially Excel preferred. Excellent analytical...ClaimsHourly payTemporary workWork at officeLocal areaFlexible hours- ...Billing Specialist Billing Specialist East Bay Community Action Program 100 Bullocks Point Avenue | Finance/Billing | Non-Exempt (... ...Key Responsibilities Submit, track, and manage electronic claims using our billing software Obtain referrals, pre-authorizations...ClaimsHourly payFor contractorsWork at officeLocal areaImmediate start
- ...supporting our providers at every step. From marketing and insurance to billing and technology, we take care of the administrative work so you... ...Admin Done for You ~ We handle credentialing, billing, claims, EHR, and tech support—so you can focus your time and energy on...ClaimsLive inWork at officeRemote work
- ...Island. This role involves handling medical billing processes, ensuring the accuracy of submissions, and following up on unpaid claims. Candidates need at least 2 years of... ...Cycle Management and proficiency in Microsoft Excel. Comprehensive benefits are offered, including...ClaimsRemote job
- ...Program (EBCAP) in Providence, RI, is seeking a Billing Specialist for part-time work. This role involves managing electronic claims for medical, behavioral health, and dental... ...are detail-oriented, organized, and excel in a collaborative environment. Join us to make...ClaimsPart time
- ...insurance operations. This includes claims processing, enrollment, billing and ancillary operational functions... ...Regularly acts as a subject matter expert for others within the Corporation... ...analytical and problem-solving skills Excellent written and verbal communications...Claims
- ...accommodation or an alternative application process. Accounts Receivable Billing Coordinator Regular Full-Time 40 Admin Support Providence, RI,... ...and billing to public and private payers. Research and resolve claim denials, underpayments, and outstanding receivables. Accurately...ClaimsFull timeWork at officeMonday to FridayShift work
- ...custom-built visual authoring environment that allows the AA delivery community (development, QA, offshore, and consulting partners) to design, validate, and version Medicare claims processing workflows without writing Python. The canvas is an editor, not a runtime: it...ClaimsContract work
$72.1k - $133.9k
...reconciling all travel-related central billing to US cost centers while providing comprehensive... ..., and HCP traveler reimbursements Claims & Research: Manage US rental car... ...analytical and problem-solving capabilities Excellent vendor management and customer service skills...ClaimsWork at officeImmediate startFlexible hours- ...using the standard checklist form Work closely with billing team to ensure all documentation for claims are uploaded General office organization... ...healthcare environment a plus Computer competency skills (Excel, Word, Outlook) Excellent organization and communication...ClaimsTemporary workWork at officeLocal area
$20.02 - $25.78 per hour
...healthcare providers utilize to capture, bill, and collect patient service revenue. The... ...Researching and appealing denied and rejected claims Preparing, reviewing, and transmitting... ...Management preferred Strong knowledge of Microsoft Excel Ability to work independently and...ClaimsHourly payTemporary workWork experience placementLocal areaRemote workFlexible hours- ...oriented Service Coordinator to support daily operations. Responsibilities include managing maintenance agreements, processing warranty claims, and handling customer communications. The ideal candidate will thrive in a fast-paced environment, possess strong organizational...Claims
- ...individuals, couples, and families. From marketing and insurance to billing and technology, we take care of the administrative work so you... .... Commitment to Quality Care We handle credentialing, billing, claims, EHR, and tech support—so you can focus your time and energy on...ClaimsLive inWork at officeRemote workFlexible hours
- ...diploma, relevant coding certification, and one to two years of experience in outpatient coding or billing. Responsibilities include ensuring accurate coding for claims, meeting productivity standards, and engaging with physicians for clarification when necessary. #J-...Claims
$80k - $95k
...or omissions. Serve as a subject matter expert for the account management team.... ...service requests, policy administration, billing, claims, and coverage analysis. ~ Policy... ...status and any issues. ~ Service Excellence: Deliver excellent service, proactively...ClaimsFor contractorsRemote work- ...POSITION Epic Billing Consultant: LOCATION... ...including data integrity and claims processing. ~ Training and... ...integration and workflow. ~ Expert-Level Support: Provide... ...Communication Skills: Excellent communication skills to effectively...ClaimsRemote work
- East Bay Community Action Program (EBCAP) is seeking a Billing Specialist in East Providence, Rhode Island. In this part-time role, you... ...of medical and dental services. You will handle electronic claims, monitor for unpaid claims, and appeal denied claims. Strong problem...ClaimsPart time
- Mercor is seeking an experienced Billing and Claims Manager to enhance medical billing processes by utilizing next-generation AI tools. The successful candidate will oversee end-to-end operations of billing and claims submissions, ensuring compliance with various payer...ClaimsRemote job
$18.5 - $42.35 per hour
CVS Health is hiring a Medical Billing Specialist in Woonsocket, RI. This role involves managing medical claims, identifying trends, and ensuring compliance with regulations. The ideal candidate has at least 2 years of experience in medical billing and a clear understanding...ClaimsHourly payFull time- ...updates Assist clients with questions regarding policies, billing, and claims processes Review coverage needs and recommend appropriate... ...workload effectively Detail-oriented and organized with excellent follow-through Insurance license preferred or willingness...Claims
- Mercor is seeking experienced Billing and Claims Managers to enhance AI systems in medical billing. Responsibilities include managing claims operations, evaluating AI outputs, and ensuring compliance with billing standards. Candidates should have 5+ years in the field,...ClaimsRemote job
- ...Responsibilities Support and troubleshoot MEDITECH Expanse revenue cycle workflows. Work with patient access, registration, billing, claims, denials, and reimbursement processes. Assist with system testing, upgrades, implementations, and workflow improvements. Partner...Claims
- ...Clinical Operations subject matter expert (SME) during audits and/or... ..., training, travel expense claims). Manage compliance with travel... ...such as, but not limited to, Excel, Word, and PowerPoint Proficient... ...FSP Resourcing Projections, Billing & Financial Tracking -...ClaimsTemporary workFor subcontractorLocal areaRemote workFlexible hours
- ...and regulations. Participate in timely computer logging services for Medicaid billing, use the web-based IEP system, and participate in the time studies for administrative Medicaid claiming as scheduled. Adhere to requirement and state and federal laws regarding students...Claims
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