Remote Healthcare Claims Quality Auditor
HealthCare Resolution Services
- Remote job
A health care auditing firm based in Maryland is seeking a Claims Auditor to conduct audits of medical and dental claims. The role requires a Bachelor's degree in accounting, finance, or a related field, along with at least three years of experience in a similar position. Ideal candidates will have strong analytical skills and the ability to communicate complex information clearly. This position includes reviewing claims for compliance and validating eligibility and network participation. #J-18808-Ljbffr HealthCare Resolution Services
$44k - $50k
...moment to join us and shape the future of healthcare technology. Learn more at HealthEdge.... ...Are UST HealthProof is looking for a Claims Quality Auditor with health plan claims administration... ...communicate and collaborate with a remote team. Geographic Responsibility: Remote...Remote jobClaimsPermanent employmentFull timeWork at office$60.1k - $85.8k
...receive an alert: Itemized Bill Review Quality Auditor, Lead Associate- Remote Date: Sep 14, 2026 Location: Any... ...solutions that solve some of healthcare’s most complex challenges. Join us... ...reviews of medical records, healthcare claims, itemized medical bill, and UB-04 forms...Remote jobClaimsFull timeWork from homeFlexible hours- ...dynamic team as a Clinical Quality Assurance Nurse Auditor The Clinical Quality... ...information received from various healthcare providers and writes... .... The position is 100% remote with a schedule of... ...and workers' compensation claims. MES has been providing services...Remote workClaimsLocal areaMonday to Friday
- ...Quality Improvement Specialist Are you a detail-oriented healthcare professional looking for a work-from-home role supporting HEDIS... ...26 HEDIS season! In this key remote role, you will work within... ...systems to resolve pends, conduct claims research, and secure necessary...Remote workClaimsMonday to Friday
$17 - $34 per hour
Abbott is a global healthcare leader that helps people live more fully... ...: The Triage Order Quality Associate Level II (TOQII) position... ...timely work of filing insurance claims for Abbott Cancer Diagnostics... ...departments. Location: Remote, United States Hours : 1st...Remote workClaimsMonday to FridayShift workDay shift- ...About Avalon Healthcare Solutions : Avalon Healthcare... ...document. About the Quality Improvement Specialist... ...is eligible for remote work, but quarterly travel... ...receipt and analysis of claims data, development of... ...Professional Medical Auditor) ~ Working knowledge...Remote workClaimsWork at officeFlexible hours
- ...Guidehealth, a remote-first healthcare company, is hiring a Remote Clinical Quality Improvement Coordinator to drive quality initiatives and patient outreach across... ...payers and providers. You will access EMR data, claims, and outreach to close quality gaps while collaborating...Remote workClaims
$24.12 per hour
Are you a detail-oriented healthcare professional looking for a work-... ...? We are seeking a dedicated Quality Improvement Specialist to join... ...HEDIS season! In this key remote role, you will work within provider... ...to resolve pends, conduct claims research, and secure...Remote workClaimsHourly payPermanent employmentTemporary workWork experience placementSeasonal workMonday to FridayShift work- A leading medical claims company based in the United States is seeking a Clinical Reviewer... ...experience in a medical office or healthcare background. This position offers robust... ...with your own availability while ensuring high-quality service to clients. #J-18808-LjbffrRemote workClaimsExtra incomeWork at officeFlexible hours
- ...Job Description: Our Senior Quality Associates get to: Define Sutherlands reputation... ...observations. Experience in US Healthcare Knowledge in handling claims process. (Commercial and/or... ...AFFECT ANY EMPLOYMENT DECISION. Remote Work : Yes Employment Type...Remote workClaimsFull time
- ...apply policy guidelines and healthcare terminology and delineate when... ...criteria are/are not met. Evaluates claims for conflict of interest and... ..., timely, and error-free quality assurance of cases. Provides... .... ● Experience working in a remote environment is preferred. ● Experience...Remote jobClaimsExtra incomeWork at office
$38.48k - $52.91k
...we improve lives by helping healthcare professionals do their best work... ...: Advanced Supplier Quality Support Specialist (Solventum... ...environment. Work location: Remote Travel: May include up to 5%... ...recruitment schemes that falsely claim to represent Solventum and seek...Remote jobClaimsH1bWork at officeRelocation packageFlexible hours- ...Baptist Health is the largest healthcare system serving central Alabama, providing comprehensive... ..., visit us at Summary The Quality Assurance (QA) Auditor is responsible for evaluating the... ...Proficiency with EHR/EMR systems, claim scrubbers, and Microsoft Office tools...ClaimsFull timeWork at officeShift workDay shift
- ...Supporting a growing healthcare team, the full-time Remote Medical Claims Specialist will manage inbound and outbound calls, process prior authorization requests, and verify insurance eligibility while working from home. Key responsibilities Handle inbound and outbound...Remote workClaimsFull time
- ...will manage unpaid or rejected insurance claims, ensure effective communication with... ...maintain accurate records while working remotely. Key responsibilities Follow up on unpaid... ...billing environment Previous experience in a healthcare setting Familiarity with CPT and ICD-10...Remote workClaimsFull time
- ...ResponsibilitiesPrepare, review, and submit accurate dental claims to insurance companies or government... ...payment issues.Ensure compliance with healthcare regulations and billing standards (e.g.,... ...independently and manage tasks in a remote setting.Solid understanding of...Remote workClaimsImmediate start
- ...Ovation Healthcare is seeking an Integrated Billing Specialist to manage daily billing, ensure timely, accurate claims, and resolve billing edits. You will verify data, handle accounts receivable, and assist in insurance claims while staying compliant with policies....Remote workClaims
- ...Ovation Healthcare is seeking a remote Accounts Receivable Specialist to follow up on insurance claims and accelerate cash collections. The role involves resolving unpaid or underpaid claims, documenting interactions, and escalating issues as needed. Candidates should...Remote workClaimsWork from home
$45k - $70k
...Reviewer plays a crucial role in healthcare systems by ensuring that... ...control costs, and maintain quality care. \3 Key Responsibilities... ...equipment and a media stipend for remote workspace. Company Commitment... ...over 200,000 insurance claims annually for leading national...Remote workClaimsTemporary workWork at officeWork from home- ...Digitech, part of the Sarnova family, seeks a QA Specialist to ensure Medicare/Medicaid claims are accurate before submission. This remote, full-time role requires reviewing PCRs, validating service levels, and confirming payer rules in a high-volume billing environment...Remote workClaimsFull time
- ...Remote Medical Billers Company: Rooted Talent Solutions Location: Remote (Work From... ...with long-term growth potential in healthcare? We are currently seeking both experienced... ...Revenue Cycle Management Insurance Claims Processing Healthcare Administration...Remote workClaimsFull timePart timeFor contractorsWork from homeFlexible hours
$20 - $40 per hour
...Biller And CoderWoodlands Primary Healthcare is seeking an experienced... ...of The Woodlands, TX. Fully remote candidates will not be considered... ...and submit insurance claims to payers in a timely and compliant... ...with HEDIS quality measures and documentation standardsSkills...Remote workClaimsHourly payWork from homeMonday to FridayFlexible hours- ...To support a busy healthcare environment, the full-time remote Access Coordinator will gather insurance information, ensure accurate claim submissions, and manage pre-service authorizations and patient communications regarding service coverage. Key responsibilities Verify...Remote workClaimsFull time
- ...Job Description Job Title: Facets Claims & Informatica Developer / Consultant \n... ...: Rochester, NY \n Work Arrangement: Remote \n Employment Type: Contract \n Duration... ...Years Long Term Contract \n Domain: Healthcare Payer \n Pay Rate: $50.00/hr W2 | $60...Remote workClaimsLong term contractContract work
- ...Remote Medical Biller & Coder (Entry-Level & Experienced)Company: Rooted Talent SolutionsLocation... ...with long-term growth potential in healthcare? We are currently seeking both... ...Billing, Revenue Cycle Management, Insurance Claims Processing, Medical Coding, Healthcare Administration...Remote workClaimsFull timePart timeFor contractorsWork from homeFlexible hours
- ...Billing Manager to review, research, and resolve unpaid or denied insurance claims, ensuring timely reimbursement for services rendered. The role supports a remote yet collaborative healthcare team, emphasizing organization, communication, and independent work. Key responsibilities...Remote jobClaims
- Westerkamp Group, LLC is seeking an Insurance Follow Up Analyst (Hospital/Physician) to resolve unpaid insurance claims. This remote role requires candidates located in TX, TN, GA, KY, LA, IL, MI or AL and involves follow-up in the Epic patient accounting system. The ideal...Remote jobClaims
$160k - $240k
...Title of the role: Product Engineer Location: Remote (U.S.) Company Stage of Funding: early-stage healthcare startup Office Type: Remote Salary: $160,... ...systems and data pipelines directly power claims processing, provider payments, EHR integrations,...Remote workClaimsWork at officeFlexible hours$91.7k - $163.7k
...clients. The successful candidate for Healthcare Data Analytics Consultant, Quality Measurement will be an established... ...'ll enjoy the flexibility to work remotely * from anywhere within the U.S. as... ...derived from administrative or claims data, health records, electronic...Remote workClaimsMinimum wageFull timeWork experience placementWork at officeLocal area$100k - $140k
...Job Title: Senior Coding Quality Auditor Department: Compliance Department... ...-Time, Exempt Location: Remote with approximately 25%... ...and the accuracy of claim submissions. The Auditor serves... ...state expansions, and tribal healthcare operations, as well as any other...Remote workClaimsFull time
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