Nurse Auditor

Job SummaryZelis is seeking a skilled Nurse Auditor to join our team. As a Nurse Auditor, you will be responsible for conducting thorough reviews of healthcare claims to ensure accuracy and compliance with industry guidelines.Key ResponsibilitiesConduct in-depth reviews of healthcare claims to identify errors and discrepanciesApply knowledge of medical...

Hospital Bill Auditor This is a full-time permanent opportunity for a managed care company, which allows a nurse leader for more growth opportunities. We are looking for highly skilled, self-motivated, registered nurses (RN) who can provide support to the revenue integrity team. This nurse will complete audits following department guidelines and the partners...

Hospital Bill AuditorThis is a full-time permanent opportunity for a managed care company, which allows a nurse leader for more growth opportunities. We are looking for highly skilled, self-motivated, registered nurses (RN) who can provide support to the revenue integrity team. This nurse will complete audits following department guidelines and the...

Job Title: Nurse ReviewerJob Summary:Zelis is seeking a highly skilled Nurse Reviewer to join our team. As a Nurse Reviewer, you will be responsible for conducting post-service, pre or post payment in-depth claim reviews based on accepted medical guidelines and clinical criteria, billing and coding rules, plan policy exclusions, and payment...

Job SummaryThe Nurse Reviewer will be responsible for conducting in-depth claim reviews based on accepted medical guidelines and clinical criteria, billing and coding rules, plan policy exclusions, and payment errors/overpayments. This role requires a strong understanding of audit techniques, identification of revenue opportunities, and financial negotiation...

Job SummaryThe Nurse Reviewer will be responsible for conducting thorough reviews of medical claims to ensure compliance with regulatory guidelines and company policies. This role requires a strong understanding of healthcare regulations, medical coding, and billing practices. The ideal candidate will have experience in auditing and claims review, with a...

Hospital Bill Auditor Job DescriptionWe are seeking a highly skilled Registered Nurse to join our revenue integrity team as a Hospital Bill Auditor. This is a full-time permanent opportunity that offers growth opportunities and a chance to work with a managed care company.Key Responsibilities:Conduct audits of hospital bills to ensure accuracy and compliance...

Job DescriptionJob DescriptionIN SUMMARY...The Regulatory Project Manager main function is to ensure that Azalea products empower hospitals and clinics to qualify for, fully participate in, and receive maximum reimbursements from all relevant regulatory programs. The role works closely with all teams in prioritizing, designing, testing, and completing...

Location: The ideal candidate will live within 50 miles of one of our pulse point locations and will work on a hybrid work model (1-2 days per week in the office).Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate, and prevent unnecessary...

Job DescriptionJob DescriptionSalary Range$80k to $120,000 annually.LocationHybrid – Atlanta, GAPrimary ResponsibilitiesActively researches and develops interventions that can be used to improve performance and clinical quality and support HEDIS, clinical measures and the accreditation process.Identifies, leads and facilitates performance improvement...

Job DescriptionJob DescriptionSalary Range$80k to $120,000 annually.LocationHybrid – Atlanta, GAPrimary ResponsibilitiesActively researches and develops interventions that can be used to improve performance and clinical quality and support HEDIS, clinical measures and the accreditation process.Identifies, leads and facilitates performance improvement...

Supports the Carelon Payment Integrity line of businessLocation: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles from our Elevance Health Pulse Point locations.Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is...

Company Overview Novelis is one of the world leaders in aluminum recycling and rolling and a leading sustainable aluminum solutions provider. Driven by our purpose of “shaping a sustainable world together,” we work alongside our customers to provide innovative solutions to the aerospace, automotive, beverage packaging and specialty markets. Headquartered...

Position Overview: Company Overview Novelis is one of the world leaders in aluminum recycling and rolling and a leading sustainable aluminum solutions provider. Driven by our purpose of shaping a sustainable world together, we work alongside our customers to provide innovative solutions to the aerospace, automotive, beverage packaging and specialty markets....