Medical Audit Claim Reviewer

Job Summary As a Medical Audit Claim Reviewer, you will play a crucial role in our organization by reviewing and auditing medical claims to ensure compliance with policies, procedures, and regulatory requirements. You will contribute to the accurate and ethical processing of claims, which is essential for the well-being of our members and the financial...

Job Summary As a Medical Audit Claim Reviewer, you will play a crucial role in our organization by reviewing and auditing medical claims to ensure compliance with policies, procedures, and regulatory requirements. You will contribute to the accurate and ethical processing of claims, which is essential for the well-being of our members and the financial...

Job Summary As a Medical Audit Claim Reviewer, you will play a crucial role in our organization by reviewing and auditing medical claims to ensure compliance with policies, procedures, and regulatory requirements. You will contribute to the accurate and ethical processing of claims, which is essential for the well-being of our members and the financial...

Position OverviewThe Healthcare Claims Audit Specialist is integral to our organization, responsible for meticulously examining and evaluating medical claims to ensure adherence to established policies, procedures, and regulatory standards. Your contributions will be vital for the precise and ethical processing of claims, which directly impacts the welfare...

Job SummaryAs a Medical Claims Auditor at Point32Health, you will play a vital role in ensuring the accuracy and integrity of medical claims. Your expertise will be instrumental in maintaining compliance with regulatory requirements and company policies.Key ResponsibilitiesClaim Review and Audit: Conduct thorough reviews of medical claims to ensure accuracy,...

About the RoleWe are seeking a highly skilled Medical Claims Auditor to join our team at Point32Health, Inc. As a Medical Claims Auditor, you will play a critical role in ensuring the accuracy and compliance of medical claims with our company's policies and regulatory requirements.Key ResponsibilitiesConduct thorough reviews and audits of medical claims to...

Position OverviewThe Phia Group is dedicated to providing comprehensive claim recovery solutions for health benefit plans. Our mission is to identify instances where another entity should be responsible for medical expenses already paid by health benefit plans. The Case Investigator plays a pivotal role in this process by assessing potential alternative...

Job SummaryThe Claims Support Specialist will provide timely support to the Claim Services Department, demonstrating exceptional service professionalism in all aspects of the role. This position reports directly to the Supervisor Claim Support and is responsible for ensuring the smooth operation of the claims process.Key ResponsibilitiesClaims Preparation:...

Description: The role reports directly to the Supervisor Claim Support. The role is responsible for providing timely support to the Claim Services Department while demonstrating the highest levels of service professionalism in all they do. The role is expected to: Prepare items for imaging, including new claims, correspondence, closed claim files, and...

Description: The role reports directly to the Supervisor Claim Support. The role is responsible for providing timely support to the Claim Services Department while demonstrating the highest levels of service professionalism in all they do. The role is expected to: Prepare items for imaging, including new claims, correspondence, closed claim files, and...

Job DescriptionJob DescriptionAll Boston Mutual employees who interact with our policyholders, our producers, and our BML associates embrace the principles of our brand and service philosophy. We are all brand ambassadors. Both our words and our behaviors matter. We share a common service philosophy and pride ourselves in living the BML brand promises every...

Health and Disability Claims Examiner Full Job Description: The role reports directly to the Supervisor Claim Support. The role is responsible for providing timely support to the Claim Services Department while demonstrating the highest levels of service professionalism in all they do. MUST HAVE: Direct Life Claims experience. The role is expected to:...

About the RoleWe are seeking a highly skilled and compassionate professional to join our team as an MDS Appeal and Chart Review Specialist. As a key member of our team, you will play a critical role in ensuring the accuracy and integrity of our billing processes.ResponsibilitiesRoutine audits of facility PDPM groupers for appropriate billing.Compile records...

Job SummaryWe are seeking a highly skilled Medical Claims Auditor to join our team at Point32Health. As a Medical Claims Auditor, you will play a critical role in ensuring the accuracy and compliance of medical claims with our organization's policies and regulatory requirements.Key ResponsibilitiesClaim Review and Audit: Conduct thorough reviews and audits...

Job Summary:The Claims Examiner - Health and Disability role reports directly to the Supervisor Claim Support at CEI Group. This position is responsible for providing timely support to the Claim Services Department while demonstrating the highest levels of service professionalism in all aspects of the job.Key Responsibilities:Prepare items for imaging,...

Job Summary: We are seeking a highly skilled Claims Examiner to join our team at CEI Group LLC. As a Claims Examiner, you will play a critical role in supporting our Claim Services Department by providing timely and professional support.Key Responsibilities:Prepare items for imaging, including new claims, correspondence, closed claim files, and notification...

Division or Field Office:Canton Branch OfficeDepartment of Position: Claims DepartmentWork from:Canton Branch OfficeSalary Range:$85,000 - $136,175.00 **This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location, and...

Division or Field Office:Canton Branch OfficeDepartment of Position: Claims DepartmentWork from:Canton Branch OfficeSalary Range:$85,000 - $136,175.00 *Salary range is for this level and may vary based on actual level of role hired for.*This range represents a national range and the actual salary will depend on several factors including the scope and...

Job DescriptionJob DescriptionClaims SupportLocation:Canton, MAOpportunity to work with a great company!Hiring ASAP!Hours:Full Time – 3 Month Contract – Friday’s are remote after trainingMonday - Friday; 8:00am - 5:00pmJob Requirements:·         Prepare items for imaging, including new claims, correspondence, closed claim files, and...

About the RoleSpartan Placements LLC is seeking a highly skilled and experienced Audit Senior to join our team. As an Audit Senior, you will play a key role in leading audits, reviews, and compilations, and will be responsible for supervising less experienced staff.Key ResponsibilitiesLead Audits and Reviews: Participate in and assume in-charge...