Pharmacy Claims Auditor, CPhT - Hybrid & Field Audits
Conduent Business Services
Conduent Business Services is hiring a Pharmacy Claims Auditor CPhT in San Antonio, TX. You will audit pharmacy claims to ensure accuracy and compliance, representing clients in various capacities. Ideal candidates have a National CPhT certification, retail pharmacy experience, and a valid driver's license. This role offers a hybrid working environment, where 75% of the month involves fieldwork and 25% remote work. Benefits include comprehensive health plans, paid training, and opportunities for career growth. #J-18808-Ljbffr Conduent Business Services
- JobRx, Inc. is seeking a Pharmacy Claims Auditor CPhT to conduct comprehensive audits on pharmacy claims to ensure accuracy.... ...retail pharmacy environment. With a hybrid work model, you'll spend 25% of... ...time at home and 75% in the field auditing pharmacies. Competitive...FieldClaims
- ...noticed and valued every day. Pharmacy Claims Auditor CPhT Do you have a CPhT certification? Would you like to audit pharmacy claims for accuracy... ...working conditions: Hybrid work: Will be working from home... ...and will be working in the field doing audits at different pharmacy...FieldClaimsWork at officeLocal areaWork from homeFlexible hoursNight shift
$57k
Pharmacy Claims Auditor CPhT Do you have a CPhT certification? Would you like to audit pharmacy claims for accuracy? About the Role Conduent Payment... ...working conditions: Hybrid work: Will be working from home... ...and will be working in the field doing audits at different...FieldClaimsWork at officeLocal areaWork from homeFlexible hoursNight shift$100k
Join to apply for the Premium Field Auditor (Hybrid) role at Brown & Joseph AR Management | an ARMStrong... ...LLC has been a leader in the insurance audit and loss control prevention industry... ...D - Quality Systems & Auditing Complex Claims Consultant - Architect & Engineer...FieldClaimsWeekly payFull timePart timeLocal areaImmediate startRemote workWork from homeHome office2 days per week3 days per week- ...POSITION SUMMARY/RESPONSIBILITIES Responsible for development and maintenance of claims auditing program for all lines of business to improve claims processing standards and to monitor the quality of service delivered to our customers. Identifies processor and phone...Claims
- ...services firm in San Antonio is seeking a Senior Auditor to lead diverse engagements and develop... .... Responsibilities include overseeing audit fieldwork, preparing reports, and ensuring client service. The position offers a hybrid work environment and requires travel within...
- ...Position Residential Energy Auditor Responsibilities Act as a local on‑site program and company... ...equipment, conduct energy efficiency (re)audits, pre‑ and post‑installation verifications... ...verifications and electronic review of field data entered into the program database)....FieldHourly payLocal area
- W. R. Berkley Corporation is seeking a Stop Loss Claims Auditor to perform quality reviews of claim submissions. Candidates can be fully remote or based in specific offices in the northeastern US. The company emphasizes teamwork and provides numerous benefits including...ClaimsRemote job
- ...evolving needs About the Role • Lead audit initiatives to include tracking of... ...complete PBC request from internal and external auditors. • Review and evaluate computer-based... ...Information Systems, Computer Science, or related field with at least four (4) years of relevant...FieldFor contractors
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...the 50 United States are encouraged to apply. As an Attorney Auditor at Sedgwick, you’ll have the opportunity to take on new... ...this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating...ClaimsLocal areaRemote workWork from homeFlexible hours- ...Analyst manages disputed or denied claims by analyzing medical records... ...Reviews and responds to payer audits. Ensures accurate ICD-10... ...external parties (e.g., payers, auditors) to address claim and audit issues... ...'s degree in a related field required Required Skills...FieldClaimsContract workWork at office
- ...property and casualty insurance programs, claims management, vendor insurance oversight,... ...performance bonds, and warranty bonds Oversee, audit, and conduct claims reviews of the Third-... ...finance, business management, or related field) Minimum 10 years of progressive...FieldClaims
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$18 - $28.3 per hour
CLEAResult is seeking a Residential Energy Auditor in San Antonio, Texas. This position involves on-site representation to residential... ...installation of energy-efficient equipment, and conducting energy audits. Strong customer service and interpersonal skills are essential...FieldHourly pay- ...seeking an entry-level role in San Antonio to help lead the transition to energy efficiency. In this position, you will perform energy audits for commercial facilities and engage with business owners to encourage program participation. Responsibilities include daily travel...Field
- Job Title: Freelance Mine Site Auditor - Coal Supply Chain Due Diligence Overview We are... ...chains and logistics Experience with site audits, inspections, or operational assessments... ...Engineering, Geology, Supply Chain, or related field preferred Engagement Details Contract /...FieldContract workFreelance
$18.8 - $28.3 per hour
...owners and operators to install energy‑efficiency measures, conduct audits, and verify results across a defined territory in the San... ...federal, state, and local transportation regulations. No remote work; field position with frequent travel. On‑the‑job training provided....FieldHourly payFor contractorsLocal areaRemote work- ...energy industry and our community. As an Auditor you will assist Internal Audit Management in safeguarding corporate... ..., Accounting, Finance, or related field. 2+ years of experience in the... ...Centers (Physician & Pediatrician) Onsite Pharmacy State‑of‑the‑art 24‑hour Fitness...FieldLocal areaImmediate start
$120k - $160k
...Audit Manager - Insurance and Banking Weaver is a full-service national accounting, advisory... ...for professionals in many different fields. We seek to bring a human element to the... ...including IBNR), premium revenue recognition, claims processing and liabilities, reinsurance,...FieldClaimsFlexible hours- ...requirements. Prepare, submit, and track claims to Medicaid, Medicare, managed care organizations... ...reimbursement requirements. Assist with audits, compliance reviews, and reporting... ...Administration, Accounting, Finance, or a related field. Twoo (2) or more years of experience in...FieldClaimsWork at office
- A reputable staffing agency in San Antonio is seeking an Experienced Audit Senior for a CPA firm. This position offers a Path Toward Partnership within two to three years and emphasizes an Exceptional Work-Life Balance. Candidates should have 3+ years of Audit experience...
$70k - $80k
...alternative application process. PNC Intake Auditor & Sign-Up Coordinator Salary Range: $70,0... ...every priority PNC in the office, auditing attorney follow-up, observing live phone... ...facts, notes, dispositions, and required fields are entered into Salesforce immediately after...FieldWork at officeImmediate startNight shiftWeekend workDay shiftAfternoon shift- ...available. Employee Benefits Account Manager (Hybrid) About Patriot Growth Insurance Services:... ...and email regarding benefits, billing, claims, eligibility, and policy-related... ...Resources, Risk Management, or a related field required. Bachelor’s degree in Business...FieldClaimsFull timeTemporary workWork at officeLocal areaFlexible hours
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- Job Summary: The Internal Auditor is responsible for executing the credit union’s independent internal audit function. Evaluates risk management, internal controls, and governance... ...’s degree in Accounting, Finance, or related field CPA, CIA, or equivalent certification...FieldContract workCasual workWork at officeRemote work
- ...initial and secondary billing, handling government and non-government claims. The ideal candidate has 1-3+ years of experience in billing... ...departments are essential. The position offers potential for hybrid work after training and a comprehensive benefits package. #J-188...Claims
$63.59k - $114.45k
...Inside Senior Property Adjuster to handle complex property insurance claims. This position entails investigating, negotiating, and settling... ...experience and knowledge of residential construction. A hybrid work schedule requires 3 mandatory office days, along with a competitive...ClaimsWork at office
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