CPC-Certified Medical Claims Auditor
Hispanic Alliance for Career Enhancement
CVS Health is seeking a Certified Professional Coder (CPC) to review medical records for the Special Investigations Unit. You will ensure coding accuracy, document findings, and communicate with investigators and leadership. The role requires deep knowledge of CPT/HCPCS/ICD-10 and CMS guidelines. The position offers full-time hours, comprehensive benefits, and opportunities to impact compliance and cost savings across health care programs. #J-18808-Ljbffr Hispanic Alliance for Career Enhancement
$46.99k - $122.4k
...Summary The Program Integrity Auditor is responsible for the review of records for medical, behavioral, transportation, and... ...recoupment of funds or rebilling of claims, and referral to state... ...Time Zone. Must possess an active CPC (Certified Professional Coder), CCS (Certified...MedicalClaimsHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hours- ...The Medical Coder to assign procedure, diagnosis codes... ...insurance billing, review claims data, research and... ...degree in medical coding/CPC. These additional certifications... ...required but a plus: Certified Professional Coder (CPC... ...Professional Medical Auditor (CPMA) Experience: A...MedicalClaimsFull time
$43.89k - $93.57k
...something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a...MedicalClaimsHourly payFull timeTemporary workLocal area- CVS Health is seeking a Program Integrity Auditor to review medical, behavioral, transportation and other provider records... ...rules. The role requires 3-5 years of claims data and medical records review, and an active CPC, CCS, or CPMA license, plus an Associate's degree...MedicalClaims
$49k
...for this position. Recovery Assistance auditors perform a variety of moderately complex... ...the eligibility requirements to take the Certified Public Accountant examination in Louisiana... ...or Unofficial College transcripts #J-18808-Ljbffr Savoy Medical Management GroupMedicalWork from homeFlexible hours- ...Responsible for reviewing the daily held claims report and oversee correction of filing... ...providers and other employees to ensure medical stay meets medical necessity and continued... ...and our team members. As a nationally certified Great Place to Work, at Lake Charles Memorial...MedicalClaimsFull timeWork experience placement
- ...Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best... ...in Financial Services & Insurance Claims Examiner - Liability (MUST RESIDE IN LA)... ...comprehensive benefits offering including medical, dental vision, 401K on day one. Work Environment...MedicalClaimsFlexible hours
$49k - $76.23k
A healthcare management firm in Louisiana is seeking auditors to improve governmental accounting practices. Candidates should be detail... ...Ideal candidates will have a degree or CPA certification and strong analytical ability. #J-18808-Ljbffr Savoy Medical Management GroupMedicalRemote jobFlexible hours- ...night stay services, and all other complex medical services. The role utilizes appropriate... ...coding experience. Certifications Required - Certified Coding Specialist (CCS), Certified... ...which may include DNFB, Pre-AR, denials, and claim edits. Verify correct discharge...MedicalClaimsRemote jobWork experience placementLocal areaImmediate startNight shift
- ...leading Third-Party Administrator (TPA) specializing in innovative claims management solutions. At CRS, we believe in doing things... ...final settlement information. Generates checks for indemnity and medical payments daily. Develops and monitors consistency in procedural...MedicalClaims
$150k - $275k
...an accredited law school Admitted to practice law in Louisiana Responsibilities Managing their own docket of cases Set up claims and track medical treatment Supervise medical clerk and case manager Review demands Negotiate with adjusters Communicate the offer to the client...MedicalClaimsFull time$49k
...certification. The role offers competitive salaries starting from $49,000, along with flexible working arrangements that respect personal commitments. Join our team to contribute meaningfully while maintaining work-life balance. #J-18808-Ljbffr Savoy Medical Management GroupMedicalRemote jobFlexible hours$85k - $105k
...site safety inspections Employee training Claim investigations Overnight traveling to... ...Candidate Qualifications Candidate MUSTbe a CSP (Certified Safety Professional), ASP (Associate... ...Insurance Plans: No Cost "Core Plan" - No Cost Medical & Dental Buy Up Plan - Features a lower...MedicalClaimsFull timeTemporary workFor contractorsWork at officeImmediate startFlexible hoursNight shift- ...State of Louisiana and state employees in tort claims seeking damages in the areas of Civil Rights, General Liability, Medical Malpractice, Road Hazard, Transportation, and... ...‑related curriculum at a University and/or certified paralegal training program, Bachelor’s degree...MedicalClaimsWork at officeLocal area
- ## Workers' Compensation Claims Specialist**Job Description:**Creative Risk Solutions (CRS), a proud line of business under the Holmes... ...settlement information.* Generates checks for indemnity and medical payments daily.* Develops and monitors consistency in procedural...MedicalClaimsFull time
- ...established healthcare sales professional, or looking to break into Medical Sales, America's Pharmacy Group, LLC is a great opportunity for... ...ongoing coaching Great Commission! We pay commission on a per-claim basis, which means you make money every time someone uses our...MedicalClaimsCurrently hiringWork at office
- ...compensation program, working closely with HR and claims adjusters.Collaborate with project... ..., oil & gas, or petrochemical sectors.Certified Safety Professional (CSP) or equivalent... ...compensation, paid weekly.Best-in-class medical, dental, vision, and LTD/STD coverage.40...MedicalClaimsWeekly payFor contractorsWork at officeLocal area
- Argo Group is seeking a highly capable Senior Medical Pricing Specialist for a temporary assignment. The role entails overseeing medical payments for WC claims, ensuring accuracy, and coordinating with claims staff. Remote work is allowed, with in-office option. The position...MedicalClaimsRemote jobTemporary workWork at office
- Cooperative of American Physicians, Inc. is seeking a Claims Specialist II to perform technical and administrative duties to manage assigned medical malpractice claim files and to participate in training and supervision of Claim Specialist I’s. The role involves overseeing...MedicalClaims
- ...Performs technical and administrative duties to manage assigned claim files. Participates in the continued training and supervision of... ...Claim Specialist I’s. ESSENTIAL DUTIES AND RESPONSIBILITIES: Manage medical malpractice claims, including the assignment, direction and...MedicalClaims
- The Emerge Center in Baton Rouge is seeking a Temporary Medical Billing Specialist to support our autism-focused care team. You will handle administrative tasks, schedule appointments, and assist our medical staff in delivering high-quality services to patients. You will...MedicalClaimsTemporary work
- Join our team at The Emerge Center as a Temporary Medical Billing Specialist! This exciting opportunity in Baton Rouge will allow you to... ...ABA, and Occupational Therapy billing packets to ensure accurate claim submission and reimbursement. Reviewed, sorted, and verified...MedicalClaimsTemporary work
- ...Performs technical and administrative duties to manage assigned claim files. Participates in the continued training and supervision of... ...Claim Specialist I’s. ESSENTIAL DUTIES AND RESPONSIBILITIES: Manage medical malpractice claims, including the assignment, direction and...MedicalClaims
- ...Company Partners, to minimize potential for errors and omissions claims while demonstrating strong organizational skills with a high... ...accommodations to applicants and colleagues who need them for medical or religious reasons. EEOC (STATEMENT): BRP is an equal employment...MedicalClaimsContract workWork at officeLocal area
- ...requirements and post payment recoupment, to promote accuracy in claims payment and correct coding to drive savings. Leads strategies... ...healthcare costs. The Vice President will partner across Finance, Medical Economics, Provider Network Management, Clinical Operations,...MedicalClaims
$1,000 per month
...following responsibilities or functions required to support the claims unit. Accurate processing of claims edits. Determining primacy... ...School Diploma or equivalent required. Work Experience: 2 years in medical claims processing required. Coordination of Benefits (COB)...MedicalClaimsWork experience placementWork at officeLocal areaRelocation$55k - $75k
...reviewing and assessing the merits of clients’ Personal Injury claims by organizing, reviewing, and summarizing records, documents, and... ...to demand Prepare and organize demand packages, including medical summaries, billing summaries, liability documentation, and supporting...MedicalClaimsLocal areaRemote work$133.68k - $146.9k
...settlements. Additionally, you’ll work closely with clients and claims partners to prepare timely reports on litigation, ensuring all... ...Other tasks will include analyzing written discovery, depositions, medical records and assessing the value of claims to determine risk...MedicalClaimsTemporary workWork at officeFlexible hours- WK Medical Center Shreveport, LA Non-Medical Full-Time, Day, 7:30 AM - 4:00 PM Position Summary The Patient Access Manager is responsible... ..., Business Office, and Clinical Departments to improve clean claim rates. Monitor registration accuracy and reduce preventable...MedicalClaimsFull timeWork at officeShift work
$80.3k - $133.8k
...specific drug (including Benefit Investigation, Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer... ...updates, appropriate claims submission, Specialty Pharmacy, Medical Benefit Interpretation, understanding medical necessity, claims...MedicalClaimsWork at officeRemote work
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