Claims Audit & Data Integrity Specialist
MagnaCare
MagnaCare in Las Vegas, NV, is seeking a qualified auditor to perform routine and complex audits including enrollment and claims adjudication. Successful candidates will have a focus on data integrity and assist in identifying errors in the system. The role requires a high school diploma, at least 5 years of auditing experience, and proficiency in MS Office Suite. Strong analytical and communication skills are essential. #J-18808-Ljbffr MagnaCare
$90k - $120k
...lifecycle, including vendor payments, expense management, and insurance claims disbursements. You'll partner closely with accounting, finance,... ..., including accruals and account reconciliations. Assist with audits, regulatory examinations, and financial reporting requirements....Claims$60k
...years previous experience researching unpaid and denied insurance claims. -Familiarity with Medinformatix EHR software a plus. -Knowledge... ...contracts and update fee schedules accordingly. 6. Conduct audits on encounters, coding, and payments for accuracy. 7. Produce monthly...ClaimsFull timePart timeWork at officeLocal area- ...Perform routine and complex audits including but not limited to enrollment and maintenance, claims adjudication and adjustments, member and provider data integrity. Develop, prepare and report results of audits, and provide error statements for explanation of errors to...Claims
- ...Auditing Role Perform routine and complex audits including but not limited to enrollments & maintenance, claims adjudication & adjustments, member & provider data integrity in the claim. Develop, prepare and report results of audits; and provide error statements for...ClaimsFlexible hours
$19.18 - $30.14 per hour
...Elevance Health is hiring a Recovery Specialist Associate for their call center in Las Vegas... ...for managing health insurance subrogation claims and providing support to members and providers... ...have a minimum of 2 years of claims or data entry experience and excellent...ClaimsHourly payWork at office2 days per week1 day per week- ...ideal candidate will be skilled in both Professional and Ambulatory Surgical Center (ASC) billing and will ensure accurate claims submission, payment posting, and account reconciliation. Responsibilities Prepare and submit clean insurance claims for...ClaimsFull time
$110k - $130k
...necessary. Manages the year‑end financial audit, including providing the external auditors... ...internal and external resources for SRED claim calculation, documentation and submission.... ...Strong working knowledge of detailed financial data analysis and reporting. Excellent...ClaimsFull timeContract workTemporary workFor subcontractorWork at office- Liberty Mutual Insurance is seeking a Claims Specialist to work in a hybrid role from Las Vegas, NV. The Claims Specialist will be responsible for managing a caseload of claims, evaluating their compensability and liability while conducting thorough investigations and negotiations...ClaimsWork experience placement
- ...accounts payable professional to manage the full accounts payable lifecycle. This role includes overseeing vendor payments and insurance claims disbursements, ensuring alignment with company policies and regulatory requirements. The ideal candidate will have over 5 years of...Claims
- ...Mitchell to ensure estimates are precise and fully documented Audit repair plans for OEM procedure compliance, correct labor times,... ...qualifications 5+ years of experience in collision estimating or as an auto claims adjuster Proven success in delivering exceptional customer...ClaimsFlexible hours
$70k
...drafting without sacrificing quality. Maintain a 0% error rate in final submissions. Case Manager - Responsibilities: Open insurance claims and manage communications with carriers. Request, track, and follow up on medical records and police reports. Monitor lien and...ClaimsTemporary workRemote work- Workers' Compensation Claim Supervisor The Workers' Compensation Claim Supervisor is responsible... ..., well-supported decisions Compliance & audit performance adherence to jurisdictional... ...outcomes and solving problems with integrity Cultural alignment believing every claim...ClaimsWork at office
- ...based in Las Vegas, NV is looking for a dedicated Customer Service Specialist to join their team. In this hybrid role, you will be the first... ...for clients, providing outstanding service while managing claims and policy inquiries. The ideal candidate will possess strong communication...Claims
$14 - $16 per hour
...furnishes receipts upon request. Accurately categorizes tickets for audit purposes. Completes accurate and detailed shift reports. Follows... ...vehicles that have not been charged for parking. Maintains claim checks and guest folio archives. Produces guest vehicle key inventory...ClaimsHourly payDaily paidTemporary workWork experience placementSeasonal workShift workNight shift- Universal Health Services in Las Vegas is seeking a Patient Account Specialist to oversee commercial medical insurance claims, interact with insurance companies, and ensure timely payments. The ideal candidate will have 1-3 years of experience in medical insurance, possess...Claims
- ...dedicated to providing exceptional claims handling and customer service... ...team as a Customer Service Specialist . Location: Corporate Office... ...of client inquiries and data. Key Responsibilities Respond... ...opportunity employer. We value integrity, accuracy, and professionalism...ClaimsWork at office
$82.8k - $97.3k
...We are looking for a Claims Specialist - Auto to join our team! Job Summary Investigate, evaluate and settle more complex first and third party commercial insurance auto claims. Job Responsibilities Evaluates each claim in light of facts; affirm or deny coverage; investigate...Claims- A leading insurance firm is seeking a Claims Specialist - Auto in Las Vegas, NV. This role involves investigating, evaluating, and settling complex insurance auto claims. Candidates should possess a High School Diploma, with a Bachelor's degree preferred, and have over...Claims
- Universal Health Services, Inc. (UHS) is seeking a Patient Account Specialist to oversee commercial medical insurance claims. This role is essential in managing the billing process and ensuring prompt payments through effective interaction with insurance providers. Ideal...Claims
- ...Patient Account Specialist The Patient Account Specialist oversees and addresses commercial medical insurance claims by reviewing the payer's Explanation of Benefits (EOB). This role involves conducting follow-ups with third parties on pending insurance claims with...Claims
- A leading insurance provider in Las Vegas is seeking a Claims Specialist - Auto to investigate and settle complex commercial insurance auto claims. The ideal candidate should have over 10 years of experience in claims evaluation and possess a high school diploma, with a...Claims
- ...in Microsoft Word and Outlook; Interviewing and meeting with client representatives; Direct experience/interaction with insurance claims representatives, including reporting, case assessment, evaluation, and strategy; Responsibility for handling own files/matters preferred...ClaimsCasual workWork at officeLocal areaRemote workWork from homeFlexible hours
$50k - $70k
...customer accounts and update information in the database. Assist customers with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate with underwriters to ensure timely policy issuance. Qualifications...ClaimsFor contractorsFlexible hours$16 per hour
..., including coding for insurance claims, generating invoices, and handling... ...of reports and documentation for audits, compliance, and program evaluation. Data Management: Input and maintain... ...service delivery. Ensure data integrity and security, adhering to privacy...Claims$19 - $25 per hour
...Biller - Billing & Insurance Eligibility Specialist We are seeking an experienced Mental Health... ...billing, insurance verification, and claims management, with a solid understanding of... ...compliance Additional Responsibilities Data collection and reporting for insurance panels...ClaimsHourly payPart timeFlexible hoursAfternoon shift$19.18 - $30.14 per hour
...Recovery Specialist Associate - Call Center Hybrid: This role requires associates to be in the... ...or closes health insurance subrogation claims via phone, fax, email or mail. For open cases... ..., a minimum 2 years of claims or data entry experience; or any combination of education...ClaimsHourly payWork experience placementWork at officeLocal areaMonday to FridayShift work2 days per week1 day per week- ...Insurance Claims Processor Follow up on claims submitted to insurance companies by phone, status inquiry letters or via the web. Process explanations of payments received from insurance companies and patients. Work task sent by the payment posters on incorrect or denied...ClaimsImmediate start
- Role: Field Adjuster (Property/Auto claims) Location: Las Vegas, NV (100% Remote) Type: Direct Hire - Full Time Job Description We're looking for a skilled and customer‑centric individual to join our team as a Property Field Adjuster, where you'll manage property damage...ClaimsFull timeRemote workWorldwide
$120k - $160k
...Workplaces in Financial Services & Insurance AI Data Scientist Sr. PRIMARY PURPOSE OF THE ROLE... ...extract, transform, load) data pipelines integrating data from multiple data sources. Explores... ...Sedgwick is the world’s leading risk and claims administration partner, which helps...ClaimsWork at officeLocal areaFlexible hours$101k - $125k
...throughout the western states, has an immediate opening for a Commercial Claims Strategy Manager to join our Claims Strategy team. We are... .... Strong background and experience in process improvement and data analysis. Outstanding research skills and ability to study technical...ClaimsWork experience placementWork at officeLocal areaImmediate startRemote work
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