Medical Claims Auditor

Health Claims Auditor Job DescriptionWe are seeking an experienced Health Claims Auditor to join our team at Withum. As a Health Claims Auditor, you will play a critical role in ensuring that health, dental, prescription, and vision claims are being paid in compliance with regulations and plan documents.Key Responsibilities:Work closely with clients to...

About the RoleWe are seeking an experienced Health Claims Auditor to join our team at Withum. As a Health Claims Auditor, you will play a critical role in ensuring that our clients' health, dental, and vision claims are being paid in compliance with regulations and plan documents.Key ResponsibilitiesWork closely with clients to review and audit health claims...

Job SummaryThe Claims Quality Assurance Auditor plays a critical role in ensuring the accuracy, consistency, and quality of claims processing at Santa Clara Family Health Plan. This position is responsible for conducting audits of claims processed against established Plan guidelines and protocols, both via manual and auto-adjudication.Key...

Job SummaryWe are seeking a highly motivated and experienced Claims Manager to join our team at Angle Health. As a Claims Manager, you will be responsible for overseeing the Claims department to ensure accurate, efficient, and timely handling of all health insurance claims.Key ResponsibilitiesClaims Management: Supervise and mentor a team of claim...

Medical Billing SpecialistMedix™ is seeking a skilled Medical Billing Specialist to join our team. Job SummaryThe Medical Billing Specialist is responsible for accurately processing and submitting medical claims to insurance providers. This role requires strong attention to detail, excellent communication skills, and the ability to work efficiently in a...

Billing Specialist OpportunityMedix is seeking a skilled Billing Specialist to support our healthcare team.Key ResponsibilitiesThe successful candidate will be responsible for accurately entering and coding patient services into our practice management system, ensuring timely and efficient billing processes. This includes reconciling billing...

Billing SpecialistMedix is seeking a skilled Billing Specialist to support our healthcare team.Job SummaryThe Billing Specialist will be responsible for accurately processing and coding patient services, reconciling billing processes, and ensuring timely payment from payers. This role requires strong attention to detail, excellent communication skills,...

About the RoleWe are seeking a highly skilled Insurance Auditor to join our team at EXL. As an Insurance Auditor, you will be responsible for performing physical and remote audits of insured businesses, interviewing business owners/managers, and collecting and recording information to be used in a written report provided to the insurance carrier.Key...

Job SummaryZenith American Solutions is seeking a dedicated Claims Processor 1 to join our team. As a Claims Processor, you will provide exceptional customer service and process routine health and welfare claims according to plan guidelines and company policies.Key ResponsibilitiesMaintain current knowledge of assigned plans and effectively apply that...

Job SummaryZenith American Solutions is seeking a dedicated Claims Processor 1 to join our team. As a Claims Processor, you will provide exceptional customer service and process routine health and welfare claims on assigned accounts according to plan guidelines and company policies.Key ResponsibilitiesMaintain current knowledge of assigned plans and...

Job SummaryZenith American Solutions is seeking a dedicated Claims Processor 1 to join our team. As a Claims Processor, you will be responsible for providing customer service and processing routine health and welfare claims on assigned accounts according to plan guidelines and adhering to Company policies and regulatory requirements.Key...

Job SummaryZenith American Solutions is seeking an experienced Claims Supervisor to provide leadership and supervision to a Claims team. The ideal candidate will have a strong background in benefits claims adjudication and a proven track record of delivering high-quality results.Key ResponsibilitiesProvide daily leadership and supervision to a Claims team,...

Job Title: Claims ProcessorWe are seeking a highly skilled and detail-oriented Claims Processor to join our team at Zenith American Solutions.Job Summary:The Claims Processor will be responsible for providing exceptional customer service and processing routine health and welfare claims in accordance with plan guidelines and company policies.Key...

Job SummaryHHSA Contract AuditorThis is a challenging and rewarding role that requires a high level of expertise in auditing and contract management. As an HHSA Contract Auditor, you will be responsible for reviewing and analyzing financial records, management controls, policies, procedures, and reports to ensure compliance with applicable laws and...

Job Title: Claims Complex DirectorWe are seeking a highly skilled Claims Complex Director to join our team at American International Group (AIG). As a key member of our claims function, you will be responsible for managing complex and high-exposure medical malpractice claims, applying best claims handling practices, and ensuring high-quality claims handling...

Job Title: Claims Complex DirectorAt American International Group, we're seeking a highly skilled Claims Complex Director to join our team. As a key member of our claims function, you'll be responsible for managing complex and high-exposure medical malpractice claims.Key Responsibilities:Manage an active claims portfolio of complex medical malpractice...

Job Title: Claims Complex DirectorWe are seeking a highly skilled Claims Complex Director to join our team at American International Group (AIG). As a Claims Complex Director, you will be responsible for managing a portfolio of complex and high-exposure medical malpractice claims, applying best claims handling practices and following company protocols to...

Job Title: Claims Complex DirectorWe are seeking a highly skilled Claims Complex Director to join our team at American International Group (AIG). As a Claims Complex Director, you will be responsible for managing a portfolio of complex and high-exposure medical malpractice claims, applying best claims handling practices and following company protocols to...

Job SummaryWe are seeking a highly skilled Lead Claims Processor to join our team at Inland Empire Health Plan. As a key member of our claims department, you will be responsible for providing technical support to claims processing staff and handling complex claims.Key ResponsibilitiesSupport claims processing staff with technical questions and business rule...

Job Title: Claims Processor 2Zenith American Solutions is seeking a dedicated and energetic Claims Processor 2 to join our team.Job SummaryThe Claims Processor 2 provides exceptional customer service and processes routine health and welfare claims on assigned accounts according to plan guidelines and adhering to Company policies and regulatory...