Health & Welfare Claims Auditor — Training & QA (Hybrid)
Northwest Administrators, Inc
A leading third-party administration firm in Mountlake Terrace seeks a Claims Auditor for its Health & Welfare group. The ideal candidate will have experience in medical and dental claims processing and will conduct internal audits and training for claims processors. This role offers a hybrid work schedule after training and a comprehensive benefits package including medical, dental, and a 401(k) plan. #J-18808-Ljbffr Northwest Administrators, Inc
$30.7 - $41.54 per hour
Claims Auditor - Health & Welfare (Hybrid) Apply for the Claims Auditor - Health & Welfare (Hybrid) role at Northwest Administrators, Inc . Are you a... ...Welfare Claims Processors' work Design and implement training plans for Claims Processors Conduct training sessions...TrainingClaimsHourly payWork at officeLocal area3 days per week- Elevance Health seeks a Diagnosis Related Group Clinical Validation Auditor - RN (CDI, MS-DRG, AP-DRG & APR-DRG... ...license, 10+ years in claims auditing or clinical documentation... ..., AP-DRG and APR-DRG. Hybrid/remote work options... ...person onboarding and training sessions. #J-18808-...TrainingClaimsRemote job
$180k - $200k
...clinic. Neither do we. Brook helps health systems deliver continuous... ...Delivers the CNO's clinical training, precepting, and competency standards... ...— concierge support for claims, referrals, and care coordination... ...Buffalo office. The role is hybrid — four days in office, one...TrainingClaimsFull timeTemporary workWork at officeRemote workRelocationFlexible hoursShift workDay shift$135k
Family Nurse Practitioner (FNP), AGNP - Hybrid Occupational Medicine New Grads, Paid Training Provided Full-Time, Permanent, Hybrid Schedule Relocation Assistance... ...NSAIDs, Muscle Relaxants Documents care using Occ. Health practices Maintains a goal of 14-16 patients per...TrainingPermanent employmentFull timeLocal areaRelocation package2 days per week3 days per week- Progressive Insurance is seeking a claims adjuster trainee in Spokane Valley, WA, offering a hybrid schedule with in-office days and remote options for the remainder... ...phone, case-load management, and step-by-step training in property damage and insurance contracts, with...TrainingClaimsTraineeshipWork at officeRemote work
$86.56k - $155.81k
...Group Clinical Validation Auditor - RN (CDI, MS-DRG, AP-... ...of required in‑person training sessions, providing... ...that per our policy on hybrid/virtual work, candidates... ...Related Group (DRG) paid claims. How you will make an... ...preferred: Registered Health Information Technician...ClaimsFull timeTemporary workWork experience placementWork at officeLocal area1 day per week$60k - $90k
...Competitive salary Flexible schedule Health insurance Opportunity for advancement Paid time off Training & development ABOUT OUR AGENCY: I... ...changes and inquiries. Process insurance claims and follow up with customers on claim status....TrainingClaimsFor contractorsWork at officeImmediate startMonday to FridayFlexible hours- Progressive Insurance is seeking a Senior Claims Specialist in Washington to investigate complex injury claims... ..., claimants and other parties. The role is hybrid, requiring some office days for meetings and training, with strong coaching and opportunities for in-office...TrainingClaimsWork at office
$192.5k - $255k
...defend and litigate a broad range of employment-related claims. You will counsel employers and provide training on labor law issues, and represent them in court,... ...skills are essential. The position offers a hybrid work model, competitive compensation ranging from $...TrainingClaims$25 per hour
Why Workit: Workit Health is an industry-leading provider of on-demand, evidence-based telemedicine... ...8:00 AM - 4:30 PM (local time) This is a hybrid role for a clinic location based in... ...of benefits Identify and resolve claims processing issues, including pre-submission...ClaimsFull timeWork at officeLocal areaRemote workFlexible hours2 days per week- ...will also negotiate settlements, collaborate with clients and claims partners, and prepare timely reports on litigation. The role includes... ...analyzing discovery, depositions, and medical records to assess claim risk, with travel for training and #J-18808-Ljbffr ProgressiveTrainingClaims
$136.62k - $199.12k
...bodily injury and property damage claims across the United States (... ...family care leave Flexible & hybrid work arrangements Fitness center... ...Employee assistance program Health & Wellness Comprehensive medical... ...insurance courses, in-house training and other educational programs...TrainingClaimsTemporary workLocal areaFlexible hours- ...join their winning team for the role of Health Insurance Position - State Farm Agent Team... ...eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification.... ...applicable licensing requirements and training programs. State Farm agents are...TrainingClaimsHourly payFor contractors
- ...appropriateness and medical necessity of health care services provided to plan members.... ...leadership relative to knowledge, implementation, training, and supervision of the use of the... ...actions. Conducts retrospective reviews of claims and appeals and resolves grievances...TrainingClaimsWork at officeLocal area
$35k - $90k
...Health Insurance Position - State Farm Agent Team MemberSuccessful State Farm Agent is seeking... ..., coverages, policy changes, transfers, claim submissions, and billing clarification.... ...applicable licensing requirements and training programs. State Farm agents are independent...TrainingClaimsHourly payFor contractorsWork at officeWork from homeFlexible hours- Premera Blue Cross is seeking an experienced Senior SIU Auditor to conduct audits of medical claims, coding, and documentation. You will lead fraud... ...with SQL and analytics tools. This position offers a hybrid work environment and opportunities to mentor junior staff...Claims
$90k - $100k
...The Medicaid Pre-Billing Auditor independently evaluates Medicaid... ...to determine whether claims are accurate, properly coded,... ...coding, audit, compliance, or health information credential... ...Tuition Reimbursements Training program will allow you to become...TrainingClaimsFull timeFlexible hours- ...Nurse Auditor Full-time Company Description Healthcare Job Description Nurse... ..., conduct and report on post payment claims audits and performs related special projects... ...Outlook, internet search). Familiarity with health care documentation systems. Strong...ClaimsFull timeWork at officeRemote work
- ...quality, safe, and efficient delivery of health care and human services programs. We... ...the integrity and accuracy of claims processes and protocols. Collects data... ...updates. Assists in providing training and support to other auditors/investigators, contributing to the continuous...TrainingClaimsWork experience placement
- ...manage the Medicaid billing cycle for behavioral health services. You will verify eligibility, submit claims, post payments, and reconcile accounts receivable... ...software in a collaborative, high‑volume environment. Hybrid schedule in Seattle applies. #J-18808-Ljbffr...Claims
$69.6k - $118.3k
Workforce Classification: Hybrid Join Our Team: Do Meaningful Work... ...Special Investigative Unit (SIU) Auditor Investigates and audits... ...coding irregularities across claims, billing, documentation, and reimbursement... ...of our commitment to your health and well-being. We offer a...Claims$110k - $120k
...set out on a mission to create health equity for American Indians... ...Sound and Spokane, WA Work model: Hybrid, onsite at clinics and remote... ...compliance oversight of all training programs and ensuring clinics... ...documentation for workplace injury claims in coordination with WC...TrainingClaimsLocal areaRemote work$205k - $235k
...firm that offers a wide range of training and development opportunities.... ...Salary $205K - $235K - Hybrid remote work from home options... ...Dental, Vision Insurance - Health Savings Account - Parking/Transportation... ...planning, contract drafting, claim management, dispute resolution...TrainingClaimsContract workTemporary workRemote workWork from homeFlexible hours- Gesa Credit Union is seeking a Sr. Auditor - Operations to strengthen quality and efficiency across the Internal Audit function. You will... ...KPIs, reporting results to leadership. This role emphasizes training, collaboration, and examiner-ready work in a regulated financial...Training
$153.09k - $200k
...Mass Tort Litigation practice working a hybrid schedule in one of the following offices:... ...involving pharmaceutical and medical device claims. The Legal Nurse Analyst will apply... ...limitation, recruitment, employment, assignment, training, compensation, benefits, promotions,...TrainingClaimsFor contractorsWork at officeLocal area- First American is seeking a Claims Counsel for a hybrid role in Washington (Seattle). You will investigate, evaluate, and resolve coverage claims, establish reserves, and determine when to retain outside counsel. The role requires admission to practice law in the US, strong...Claims
$17 - $18 per hour
...AM to 1:00 PM EST. Location: Hybrid in Doral, FL, with the first 9... ...authorization, billing, and processing claims. Basic knowledge of billing... ...of absence, compensation, and training. Pay Range and Compensation... ...hour. Sign‑on bonus: $2,500. Health, dental and vision options....TrainingClaimsHourly payLocal areaRelocation packageMonday to Friday$214.5k - $386.1k
...necessity and contract language for health plan members, including review... ...clinical expertise to support claims review decisions, including... ...in on-going education/ training as appropriate. What you will... ...accomplishments, and more. For our hybrid employees, our on-campus model...TrainingClaimsContract workWork from home$130 - $150 per hour
Hybrid Chicago - 550 Van Buren Virtual-WA Virtual-TN Virtual-AZ... ...deliver better consumer outcomes. Health systems, hospitals and medical... ..., benefits configuration, claims adjudication, utilization... ...users, and project teams; provide training and knowledge transfer. Ensure...TrainingClaimsFull timeImmediate start$90k - $110k
About Avalere Health United by one profound purpose: to reach EVERY... ...analysis using large patient and/or claims databases in support of... ...working arrangements, including hybrid and remote work, along with... ...professionally develop with on-demand training, support, and global mobility...TrainingClaimsSummer workWork at officeImmediate startRemote workWork from homeFlexible hours
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