Claims Auditor jobs

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Medical Coder / DRG Validation Auditor
Datametrix Inc - Remote
Screens claim data for appropriate cases for review. Works cross functionally with other departments to investigate questionable data, elicit information, and...
Sponsored by Datametrix Inc - 30+ days ago
Staff Client Auditor
Express Scripts 833 reviews - Franklin Lakes, NJ
The Staff Auditor receives more sensitive client external auditor ESI relationships that need to be handled with attentiveness and a high level of accuracy....
Sponsored by Express Scripts - 30+ days ago
Medical Biller - Auditor
SpineSearch - Melville, NY
Medical Biller - Auditor. Claim – turn around time 35 days. Auditors ensure that claims are received, review payments that have been received and check that all...
Sponsored by SpineSearch - 30+ days ago

Claims Auditor

CenCal Health - Santa Barbara, CA
We are seeking a Claims Auditor whose overall responsibility is to perform audits to ensure proper payment of claims and improve processes related to provider...
3 days ago - save job - email - more...

Investigative Analyst

Executive Office for U.S. Attorneys and the Office... - Lexington, KY
$70,192 - $91,255 a year
Working as an integral part of a team of investigators, auditors, subject-matter experts, and legal staff from both the office and other various law enforcement...
usajobs.gov - 9 hours ago - save job - email - more...

Delegated Claims Auditor- US Telecommute

UnitedHealth Group 1,727 reviews - Phoenix, AZ
Delegated Claims Auditor to perform the various activities for delegated group oversight, monitoring, and claims auditing....
16 hours ago - save job - email - more...

Claims Auditor I

Garretson Group - Charlotte, NC 28211 (Sherwood Forest area)
One to three years of medical claims processing experience. Each auditor is responsible for ensuring that all assigned audits are efficiently and accurately...
3 days ago - save job - email - more...

Health Claims Auditor

Quality Health Strategies - Easton, MD
Our Medicaid Integrity Contract (MIC) group is seeking results driven Health Claims Auditors to join their audit team....
4 days ago - save job - email - more...

Stop Loss Claims Auditor

BlueCross BlueShield of South Carolina 19 reviews - Blue Bell, PA
Knowledge of automated systems and manual claims processing. Three years of medical, managed care or reinsurance claims experience....
3 days ago - save job - email - more...

Auditor, Investigative - Medicaid Fraud

Georgia Department of Law - Atlanta, GA
Preference will be given to those with an accounting degree as well as auditing experience—medical claims and/or claims data....
6 days ago - save job - email - more...

Revenue Specialist

Regional One Health 8 reviews - Memphis, TN
Auditor organizes the results in order to report findings to superiors and provide necessary education to those areas affecting the claims processing problem....
3 days ago - save job - email - more...

Senior Claims Quality - Audit Representative - Trumbull - CT

UnitedHealth Group 1,727 reviews - Trumbull, CT
5+years of experience in claims. Day of an auditor include auditing. Provide expertise claims support by reviewing, researching, investigating,....
5 days ago - save job - email - more...

Auditor Claims San Juan, Puerto Rico

Molina Healthcare 116 reviews - San Juan, PR
Knowledge of Claims processing edits, adjustment adjudication and claims department processes. Responsible for daily audits of processed claims....
12 days ago - save job - email - more...
Account Manager
Consolidated Health Plans. - Springfield, MA
Responds swiftly to customer queries, research claim, plan and pricing information; Coordinates transfer of data to external vendors, plan providers, auditors...
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Sponsored by Consolidated Health Plans. - 30+ days ago
Claims Auditor
MJHS 26 reviews - Brooklyn, NY
The Claims Auditor reviews claims to ensure they are processed correctly and in a timely manner. The Auditor examines pertinent information online and through...
Sponsored by ADVANCE for Healthcare Careers - 2 days ago

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Company with Claims Auditor jobs
833 reviews
Express Scripts is a Fortune 25 company and is the largest pharmacy benefit manager in the U.S.