as hospital-based services, to patients throughout the region. Position Overview: Claims Integrity Auditor COST CENTER... years of technical experience within a healthcare environment. Previous auditing, medical claims analysis, or Health...
, and coding departments, the Charge Review Auditor helps enhance revenue integrity and optimize the revenue cycle. This position...Your job is more than a job The Charge Review Auditor plays a key role in ensuring the accuracy and completeness...
Position Summary The Revenue Integrity Nurse Auditor will be responsible for performing pre-billing and post-billing.... Acts as Pharmacy liaison between Revenue Integrity, Pharmacy, and the Trisus software product. The RI Nurse Auditor serves...
Description : The Payment Integrity Analyst is responsible for accurately reviewing pre and post pay claim audits... and commercial payer policy in written and verbal format Strong understanding of claims processing, ICD-10 Coding, DRG Validation...
. Summary We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty... processes to ensure the accuracy, integrity, and efficiency of claims processing operations. Contact providers to obtain...
. Summary We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty... processes to ensure the accuracy, integrity, and efficiency of claims processing operations. Contact providers to obtain...
. Summary We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty... processes to ensure the accuracy, integrity, and efficiency of claims processing operations. Contact providers to obtain...
. Summary We are seeking a talented individual for a Medical Claims Auditor I who is responsible for processing all casualty... processes to ensure the accuracy, integrity, and efficiency of claims processing operations. Contact providers to obtain...
Anticipated End Date: 2025-01-17 Position Title: Claims Auditor Lead Job Description: Claims Auditor Lead... spending. The Claims Auditor Lead is responsible for leading the high dollar audit team within Service Operations...
Auditor II works closely with the Claims Quality Auditing Manager. The Claims Quality Auditor II maintains up... to claims processes. This position serves as a liaison between partnering departments i.e. Payment Integrity and Claims...
main duty of the Vendor Claims Auditor will be to review invoice packages to ensure all required documentation has been... of claims. Make contributions to the team with little direction. Our most Successful Employees in this Position Demonstrate...
complexity which includes paper and electronic claims submission. The Claim Auditor I ensures that claims payment integrity..., Institutions for Mental Disease, hospital outpatient and inpatient, and long term services and support claims. The Claim auditor...
Investigator, Compliance Program Integrity Department: Compliance Office: Hybrid San Francisco Location: San.... Reviewing and researching evidence to analyze the fact patterns of claims and summarize data into a professional report...
and freedom. Could This Be For You? Primary responsibilities includes reviewing complex claims, patient records and hospital.... � Reimbursement Specialist: - Prepare complex claims reimbursement submissions in a managed care environment - Assess complex claims...
Claims Manager – North America - Reinsurance Stamford, CT | USA Our Claims team sets us apart. Our experienced... Claims professionals use their specialized expertise to handle even the most complex claims seamlessly. How do you make...
Sentara Norfolk General Hospital Surgery is Hiring a Hospital Charge Auditor I to work Full-time, Days..., working Full-time, Day Shift Hours from 7 a.m. to 3:30 p.m., No Weekends, No Holidays! A Hospital Charge Auditor I provides...
Job Description: Clinical Provider Auditor II Supports Payment Integrity & Behavioral Health Location: This is a field position expected...Anticipated End Date: 2025-02-07 Position Title: Clinical Provider Auditor II - Maryland Behavioral Health...
Job Description: Clinical Provider Auditor I Supports Payment Integrity & Behavioral Health Location: This is a field position expected...Anticipated End Date: 2025-02-07 Position Title: Clinical Provider Auditor I - Maryland Behavioral Health...
Anticipated End Date: 2025-01-10 Position Title: Provider Auditor Senior Job Description: Provider Auditor Senior... of one of our Elevance Health PulsePoint locations. Carelon Payment Integrity is a proud member of the Elevance Health family of companies...
Auditor reviews medical records and documents supporting claims for Physical and Behavioral Health Services. Manages.... Discover more about us at www.amerihealthcaritas.com. Responsibilities: The Provider Claims Inquiry Team Medical Coding...