Pharmacy Claims Auditor (CPhT) - Hybrid & Field Audits
JobRx, Inc.
JobRx, Inc. is seeking a Pharmacy Claims Auditor CPhT to conduct comprehensive audits on pharmacy claims to ensure accuracy. This role involves examining pharmacy records, interpreting data, and managing client relationships. Candidates must possess CPhT certification and have experience in a retail pharmacy environment. With a hybrid work model, you'll spend 25% of your time at home and 75% in the field auditing pharmacies. Competitive benefits and growth opportunities are offered. #J-18808-Ljbffr JobRx, Inc.
$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$29.05 - $67.97 per hour
...clinical review responsibilities involving medical necessity and claims processing. This role requires at least 2 years of clinical... ...range of $29.05 - $67.97 per hour and supports professional development within the healthcare field. #J-18808-Ljbffr Molina HealthcareFieldClaimsRemote jobHourly pay- ...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...Suggested
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- ...technical work that requires knowledge of audit standards, tests and procedures,... ...management proposed actions. Assists external auditors as requested. Conducts Buy America Pre-Award... ...EXPERIENCE: Bachelor’s Degree in a related field and at least six (6) months of experience...FieldContract workWork at officeImmediate start
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- ...is seeking a meticulous System Security Auditor to ensure the integrity and compliance of... ...systems. The role involves conducting thorough audits, assessing vulnerabilities, and providing... ...have a Bachelor's degree in a relevant field and strong analytical skills. The company...FieldFor contractors
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A leading risk and claims administration partner seeks an experienced Attorney Auditor for a fully remote position. Responsibilities include reviewing legal invoices and ensuring compliance with client billing guidelines. Ideal candidates will possess a Juris Doctorate...ClaimsRemote job- ...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
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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- 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
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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- ...involved in the accurate processing of mortgage claims to include resolving complex claims,... ...work in business, marketing, related field, or equivalent experience. Possess a Texas... ...telemarketing, customer service, quality auditing, or related experience, which includes one...FieldClaims
$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- ...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 Three...FieldClaimsFull timeContract workWork at officeShift work
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...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
- ...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
- ## Financial Operations Auditor IIApplylocations: San Antonio, Texastime type: Full timeposted... ..., operational, compliance, and special audits across MPC and MPLX business activities... ...Bachelor's degree in Accounting, Audit, related field required.* Two (2) years of audit,...FieldLocal area
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...Product Development Engineering Manager (Hybrid - San Antonio, TX)Applyremote type: Hybridlocations... ...and recruitment schemes that falsely claim to represent Solventum and seek to... ...entering the information into the application fields directly.****Solventum Global Terms of...FieldClaimsH1bWork at officeRelocation packageFlexible hours3 days per week- ...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
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...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- ...26, at 11:59 p.m. CST Performs internal audit activities designed to measure the efficiency... ...Certi Public Accountant, Certi Internal Auditor, Certified Information System Auditor,... ...Finance, Business Administration, or a related field, OR Proven working experience may be used...FieldWork experience placement
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...Prepare and defend sales and use tax refund claims Participation on a motivated team of... ...travel as needed, and working in a balanced hybrid environment Demonstrated expertise in tax... ...planning and optimization. Knowledge of audit quality and remediation techniques. Familiarity...ClaimsSummer holidayImmediate startFlexible hours$24 per hour
...San Antonio Riverwalk location. The role involves providing daily audit control over hotel revenue and various accounting functions,... ...and at least one year of experience in accounting or a related field, along with strong attention to detail and communication skills....FieldHourly pay- ...20 years of experience in the insurance claims industry. We pride ourselves on our... ...our mission is simple: level the playing field, fight for our clients rights, and secure... ...San Antonio, Texas to join our team in a hybrid, commission-based role. As a Public...FieldClaimsFor contractorsWork at office
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...Bi-Lingual Pharmacy Support Call Center Representative Contract Remote Role As the only... ...on providing talent for patient support, field/inside sales, medical device support, clinical... ...years preferred) Experience in medical claim processing is a plus Bi-lingual (...FieldClaimsHourly payFull timeContract workRemote workWork from homeShift work
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