Claims QA & Process Improvement Specialist
Versant Health, Inc.
Versant Health in Troy, NY is seeking a Claims Audit Specialist to lead quality reviews of work within Operations, analyze findings, and suggest process improvements where errors are identified. This role focuses on accuracy, completeness, and continuous improvement in a fast‑paced, HIPAA‑compliant environment. You will conduct regular quality reviews, provide feedback to staff and management, assist with routine audits for SSAE 16 and financial compliance, and participate in department or #J-18808-Ljbffr Versant Health, Inc.
- ...Position Summary The Revenue Cycle Specialist is responsible for supporting... ...ideal for someone who enjoys improving financial workflows,... ...accurate and scalable revenue cycle processes within a growing healthcare... ...cycle functions, including claims processing, payment posting,...Process improvementClaims
- ...tracking performance metrics and supporting operational improvements, you'll help create the processes and discipline that enable our teams to do their best... ...and precisionClaims Solutions — supports end-to-end claims handling with analytic and automation tools that streamline...Process improvementClaimsContract workFor contractors
- ...action for appeals, and ensure compliant submissions for denied claims. The role requires collaboration with billing, coding, and... ...records, tracking appeal statuses, and generating reports to identify trends and drive process improvements. #J-18808-Ljbffr 6AM City, LLCProcess improvementClaimsRemote job
$18 per hour
...will have a strong understanding of medical claims billing, denial management, and insurance... ...teams to resolve billing issues and improve revenue cycle performance. Compensation:... ...appropriate feedback to management regarding process improvements and challenges. Ensure...Process improvementClaimsWork at officeShift work- ...Revenue Cycle Management, the Revenue Cycle Specialist - Claim's Follow Up is responsible for... ...in the office’s current revenue cycle processes. The RCS will be required to follow up... ...opportunity and prepare solutions to improve RCM KPI’s, including collections %, AR...Process improvementClaimsTemporary workWork at officeRemote workFlexible hours
$48.5k - $65.52k
...Description: Join our tax operations processing team as aSr. Specialist, Operations Services, where you... ...processes and implemented process improvement initiatives to enhance efficiency,... ...sites and/or individual(s) or entities claiming to be employees of Cotality. Those...Process improvementClaimsLocal areaRemote workFlexible hours- ...SUMMARY**The Denials Management Review Specialist is responsible for performing... ...requirements, and overall defensibility of the claim. The position partners closely with... ...communicate trends, and contribute to process improvements that reduce denial exposure and strengthen...Process improvementClaimsFor contractorsLive outWork at officeRemote work
- ...dedicated Revenue Integrity PB Specialist to join the team. This role... ...and charge reconciliation processes. Aligns with department/service... ...charge capture process improvements and annual updates to CPT/HCPCS... .... Scope of work includes claim edits (CCI/LCD), follow-up denials...Process improvementClaimsFull timeLocal areaMonday to FridayDay shift
$45k - $55k
...connects leading pediatric specialists with families to provide best... ...is committed to continuous improvement and operational excellence.... ...issues, including escalated claims, denials, and payer disputes... ...outcomes. Identify and implement process improvements that enhance...Process improvementClaimsWork at officeRemote work- ...The successful candidate will lead and identify projects for process improvements and support process and cultural improvement initiatives... ...employment. If you receive a recruitment-related email message claiming to be from Zoetis that does not come from @zoetis.com, please...Process improvementClaimsFull timeWork at officeLocal area
$25.75 - $29.75 per hour
...in making a contribution to improving healthcare and want to be part... ...recovery team as a Payment Accuracy Specialist. A Payment Accuracy... ...Mining team configures custom claim reviews to investigate untapped... ..., high value concepts and/or process improvements, tool enhancements...Process improvementClaimsHourly payContract workWork at officeImmediate startRemote work$48.5k - $65.52k
...Description: Join our tax operations processing team as aSr. Specialist, Operations Services, where you... ...processes and implemented process improvement initiatives to enhance efficiency,... ...sites and/or individual(s) or entities claiming to be employees of Cotality. Those...Process improvementClaimsLocal areaRemote workFlexible hours$21.76 - $45.96 per hour
...Robinson is looking for a **Customs Specialist** who will play a critical... ...the customs clearance process. In this role, you will serve... ...clearance, drive continuous improvement, and help optimize automated... ...Investigate and resolve cargo damage claims, insurance matters, demurrage...Process improvementClaimsHourly payTemporary workWork at officeLocal areaRemote workWorldwideFlexible hours2 days per week3 days per week- ...accommodation or an alternative application process. Claims Quality Auditor FT Hourly Full-Time... ...in assessing and documenting process improvement areas based on quality review. Provide... ...experience, education, and/or training in QA and claims processes; insurance...Process improvementClaimsHourly payFull timeContract workWork at officeImmediate startFlexible hours
$50.4k - $72k
...analysis, and hands-on SQL experience to evaluate processes, identify discrepancies, ensure compliance, and support continuous improvement. The ideal candidate brings strong... ...Medicare, managed care, health insurance, claims, or government healthcare programs. One to...Process improvementClaimsRemote jobFull timeWork at officeFlexible hours- ...This position contributes to the overall QA Program of the laboratory. Responsible... ...analytical, analytical, and post-analytical processes within the QMS are compliant with CAP,... ...procedures. Promote continuous quality improvement by collaborating with management to...Process improvementWork experience placementWork at officeLocal areaRelocation
$136.99k - $167.28k
## AVP, Claims Quality Assurance & Performance ManagementApplylocations... ...is referred to as Quality Improvement in Farm Family currently.The AVP... ...of Farm Family’s claims QA program. The role reports to the... ...to Guidewire data, KPI trends, process assessment analytics, adjuster...Process improvementClaimsFull timeLocal areaFlexible hours- ...regard for our employees. The Senior Specialist, QA Auditing leads and conducts internal audits... ...ensure SOP(s), facilities, systems, processes and studies conform to applicable cGMP... ...concerns and implement quality improvements by meeting with other department Managers...Process improvementContract workFor contractorsWork at office
- ## Principal Specialist, Quality Assurance - MicrobiologyApplylocations: OH-Lewis Center-... ...implements quality policies, procedures, and processes to ensure products and services comply... ...investigations and driving process improvements. Their work is fundamental to...Process improvementTemporary workWork at officeLocal areaImmediate startFlexible hours
$75k - $107k
...requirements. This role identifies risk and process gaps, documents findings, provides... ...support remediation, training, and continuous improvement. This is a fully onsite position.## Key... ...* Background in quality assurance, claims, compliance, specialty lines, or multiple...Process improvementClaimsWork at officeLocal area$71.9k - $113.2k
...ensures our products are manufactured, processed, tested, packaged, stored and distributed... ...Program as a Quality Associate Specialist located at the West Point, PA site. In... ...Quality oversight and production. Continuous improvement projects by participating in problem solving...Process improvementRotational programContract workFor contractorsWork experience placementInternshipLocal areaRelocationVisa sponsorshipFlexible hoursShift workNight shiftRotating shiftWeekend workDay shift- ...AmTrust Financial Services seeks an experienced claims leader to handle contract and commercial... ...will independently investigate, analyze, and process complex matters, guide outside counsel, and drive process improvements to optimize outcomes. You will provide legal and...Process improvementClaimsContract work
- ...Luminare Health is seeking a Supervisor Claims to lead a team of claim analysts remotely, ensuring quality, productivity and client... .... The role emphasizes strong communication, leadership and process improvement, with flexible remote work from anywhere in the continental...Process improvementClaimsRemote workFlexible hours
$100k - $140k
...and elevate our revenue cycle processes. This is an organization... ...a senior-level ABA Billing Specialist to join our team full-time in... ...complex and high-value OON claims. The right candidate is proactive... ..., and implement process improvements that directly impact cash flow...Process improvementClaimsFull timeContract workWork at officeRemote work1 day per week$23 - $25 per hour
...Category: Banking The Loan Specialist is responsible for compiling... ...lending services such as product claims, product cancellations,... ...for understanding the title process for autos, boats, and recreational... ...duties to promote process improvements. Maintains a good attitude...Process improvementClaimsHourly payFull timeWork at office$25 per hour
Claims Audit Specialist_Quality Assurance Troy, NY, USA Job Description Posted Wednesday, August 19... ...healthy vision a reality for everyone by improving access to care and education in the... ...report results and make suggestions on process improvements where common errors have...Process improvementClaimsHourly payWork at officeLocal areaFlexible hours$15 - $20 per hour
...other issues identified during the billing process, including variances with incoming... ...Process all assigned pending and rejected claims in a timely and accurate manner Process... ...backup assistance to other team Coding Specialists and Revenue Cycle Specialists as needed...ClaimsContract workWork at office$71.1k - $80k
...technology, data, and a team of highly talented people to build a claims experience that is recognized as number one in the industry.... ...practices Recommends potential product developments and process improvements Interacts and communicates effectively with customers, peers...Process improvementClaims- ...a Principal Labor Relations Specialist to join their team. In this role... ...other resources and tools to improve accessibility to precedent... ...Selection ProcessThe application process varies by position but... ...reasonable accommodation (1) if they claim a disability is affecting the...ClaimsContract workWork at officeRemote work1 day per week
- ...activities. You will be involved in creating, building and improving processes and procedures to support different strategic plans. For over... ...with speed and precisionClaims Solutions — supports end-to-end claims handling with analytic and automation tools that streamline...Process improvementClaimsWork at office
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