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The Daily Review team is responsible for reviewing pharmacy claims utilizing multiple programs and working with various third party contacts to collect proper documentation to ensure a pharmacy claim
The Daily Review team is responsible for reviewing pharmacy claims utilizing multiple programs and working with various third party contacts to collect proper documentation to ensure a pharmacy claim ..
Description The Director, Claims Quality Audit audits claims for coding accuracy, benefit payment, contract interpretation, and compliance with policies and procedures. The Director, Claims Quality Audit requires an in-depth understanding of ..
Pharmacy Claims Auditor (CPhT)
Conduent is the world's largest provider of diversified business process services with leading capabilities in transaction processing, automation, ..
Obtaining authorization for patient’s surgery
Verification of insurance benefits
Verify insurance information and obtain authorization for patient surgeries
Accountable for daily upload of fee sheets to billing company
Oversee daily ..
Health care is constantly changing, and at Banner Health, we are at the front of that change. We are leading health ..
Independently performs end to end audits of Operational area to ensure accuracy of departmental processes as they trace back to source and identify (if necessary) process improvement opportunities.
Conduent is the world's largest provider of diversified business process services with leading capabilities in transaction processing, automation, analytics and constituent experience. We work with both government and commercial customers in ..
MEDICAL CLAIMS AUDITOR I','18212195','','Health Payer','US-TX-Irving','','High School Diploma/GED (±11 years)','No','!*!Computer Task group is seeking a Medical Claims Auditor for their client in Irving, Texas for a seven month contract.We are seeking a ..
Life & Disability Claims Auditor I, Atlanta, GA, PS13264
Location: Atlanta, Georgia, United States
Requisition #: PS13264
Post Date: 8 hours ago
Your Talent. Our Vision. At Anthem, ..
The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in ..
About UsPresbyterian Healthcare Services is a locally owned, not-for-profit healthcare system of eight hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, it ..
Medical Claims Auditor','123432','!*!West’s Cost Containment team is looking for Insurance Claims Validators (Medical Claims Auditor) in Sherman, TX.With this opportunity, you will gain valuable insurance claims experience through analyzing medical claims ..
Specialist, Claims Auditor & Quality Assurance
Itâ€™s Time For A Changeâ€¦
Your Future Evolves Here
Evolent Health has a bold mission to change ..
WHO WE ARE
We pioneered the recovery of healthcare claims in Louisville, KY in the late 1970's and have grown to an organization of 1300 employees that serve our health insurance ..
Pharmacy Claims Auditor
The Audit Analyst Principal leads department portions of external audits and accreditation processes within PBM Operations. This position is the ..
... daily auditing of managed care claim payments and monitoring claims compliance ... examiners regarding the system and claim procedures and documents results. Audits ... and other business units on..
Claims Auditor/Paralegal with Claims Auditing Exp
Kelly Legal Managed Services (KLMS) is seeking Claims Auditors or Paralegals with Claims Coding/Auditing experience to start ..
Insurance Claims Auditor
Kelly Legal Managed Services (KLMS) is seeking Claims Auditor with Workers Comp./Insurance experience to start on a project located in New York, NY.
... mainframe system to review each claim image to the actual data ... input into the system & claim payment to ensure accuracy. Benefits, ... & provider disputes. Review each..
AmWINS Specialty Auto is seeking career-oriented candidates to join a claims team within our rapidly growing company. The Claims Auditor is responsible for oversight of claims quality assurance. This position will ..
Claim Operational Auditor
ProfessionalPosition Purpose: Perform front end operational audits and assist in the development of value added feedback regarding the potential ..
Claims Auditor Sr - Minnetonka, MN (PS10723)
Location: Minnetonka, Minnesota, United States
Requisition #: PS10723
Post Date: 6 hours ago
Your Talent. Our Vision. At Anthem, Inc., it’s ..
Pharmacy Claims Auditor (CPhT)
Conduent is the world's largest provider of diversified business process services with leading capabilities in transaction processing, automation, analytics ..