Medical Claims Auditor

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,...

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:...

Job Title: Health Claims ExaminerCEI Group is seeking a highly skilled Health Claims Examiner to join our team. As a Health Claims Examiner, you will be responsible for providing timely support to our Claim Services Department while demonstrating the highest levels of service professionalism in all you do.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...

Job Title: Health and Disability Claims ExaminerWe are seeking a highly skilled and detail-oriented Health and Disability Claims Examiner to join our team at CEI Group.Key Responsibilities:Prepare items for imaging, including new claims, correspondence, closed claim files, and notification of claims.Provide backup support to the data imager.Index relevant...

Job SummaryThe Data Imager/Scanner is a key member of the Record Management team at Boston Mutual, responsible for accurately scanning and indexing closed claim files to ensure efficient access and retrieval of records.Key ResponsibilitiesPrepares closed claim files for scanning, ensuring all necessary documents are included.Scans closed files and associated...

Job SummaryAs a Senior Manager, Network, you will lead the analytic support of contract negotiations, strategic initiatives, and regulatory requests. You will manage staff, provide training and mentoring, and directly support complex analysis related to negotiations and provider contracts.Key ResponsibilitiesManage analysts in designing and executing complex...

Job Title: Hotel General ManagerWe are seeking a highly skilled and experienced Hotel General Manager to lead our team at Homewood Suites by Hilton - Boston/Canton. As a key member of our management team, you will be responsible for ensuring the smooth operation of our hotel, providing exceptional guest experiences, and driving revenue growth.Key...

{"title": "Materials Handler", "description": "Job SummaryOrganogenesis is a leading regenerative medicine organization dedicated to empowering healing through the development, manufacturing, and sale of products for the advanced wound care and surgical markets. We strive to provide an integrated portfolio of healing solutions that improve lives while...

Job SummaryWe are seeking a highly skilled Senior Manager to lead our Network Analytics team. As a key member of our organization, you will be responsible for providing strategic support to our contract negotiations, strategic initiatives, and regulatory requests.Key ResponsibilitiesLead Complex Analyses: Manage analysts in the design and execution of...

About Point32HealthPoint32Health is a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our communities. Our mission is to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.Job SummaryThis...

Job DescriptionWe are seeking a highly skilled and compassionate Member Services Representative to join our team at Point32Health. As a key member of our organization, you will play a vital role in providing exceptional customer service and support to our members.About the RoleIn this dynamic and fast-paced environment, you will be responsible for:Providing...

Job DescriptionTransforming Healthcare, One Member at a TimeWe are seeking a highly skilled and dedicated Member Services Representative to join our team at Point32Health. As a key member of our organization, you will play a vital role in providing exceptional customer service and support to our members, employers, and internal customers.Key...

Job SummaryAs a Medical Audit Claim Reviewer at Point32Health, you will play a critical role in ensuring the accuracy and compliance of medical claims. Your expertise will contribute to the well-being of our members and the financial stability of our organization.Key ResponsibilitiesReview and audit medical claims to ensure accuracy, completeness, and...

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 OverviewWe are seeking a highly skilled and experienced Lead Auditor to join our team at Trilon Group. As a Lead Auditor, you will be responsible for managing and executing all phases of EMS audits, managing and updating the audit program for each assigned client, reviewing and approving corrective actions in a timely manner, and communicating with the...

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...

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:...

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...

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:Prepare...

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 SummaryWe are seeking a skilled Billing Specialist to join our Finance department at CommQuest Services, Inc. The successful candidate will be responsible for working with aging reports and claim denials, under the guidance of the Revenue Cycle Lead.Key ResponsibilitiesReview, correct, and resubmit denied claims to ensure timely payment.Maintain...

Job Summary:We are seeking a highly skilled and experienced Medical Billing Specialist to join our team at Regional Vascular & Vein Institute. As a key member of our billing department, you will be responsible for managing charge entry, claims submission, EFT and patient payments, collections, and follow-up on claim denials and accounts receivables.Key...

Job Summary:We are seeking a highly skilled and experienced Medical Billing Specialist to join our team at Regional Vascular & Vein Institute. As a key member of our billing department, you will be responsible for managing charge entry, claims submission, EFT and patient payments, collections, and follow-up on claim denials and accounts receivables.Key...

Regional Vascular and Vein Institute is a well-established, successful private practice consisting of a group of 4 vascular surgeons serving individuals throughout Stark and surrounding counties. We are looking for a committed professional to join our team and support our physicians in ensuring each patient is treated as an individual and receives the...

Job SummaryThe Medical Coder Specialist will apply the appropriate ICD-10 code based on documentation and coding guidelines for HCC coding.Key ResponsibilitiesCollaborate with healthcare providers to ensure compliance with dictations and documentation of patient treatment plans, prescriptions, and specialty treatments.Summarize all relevant information into...

{"h1": "Medical Receptionist Job Description", "p": "At Aylo Health, we strive to provide quality healthcare that is simple and convenient. Our mission is to enrich the health and well-being of every life we touch. We offer a work environment that values lifelong relationships, growth, and career development. Our team is passionate about caring for each...

Job DescriptionJob Summary:CommQuest Services Inc. is seeking a highly skilled Financial Operations Coordinator to join our Finance department. The successful candidate will be responsible for managing the billing process, working closely with the Revenue Cycle Lead to resolve claim denials and aging reports.Key Responsibilities:Review and correct denied...

Job SummaryCommQuest Services Inc is seeking a highly skilled Staff Accountant to join our team. As a Staff Accountant, you will play a critical role in managing and analyzing financial data, assisting with financial management, and supporting the preparation of financial reports.Key ResponsibilitiesManage and analyze financial data to ensure accuracy and...

Opportunity HighlightsA highly regarded group of 5 gastroenterologists and 4 advanced practitioners is seeking a BE/BC Gastroenterologist/Partner to join their team. The opportunity highlights include:Collaborative and efficient group with a 100% physician-owned ASCMarket competitive salary guarantee plus bonusesPartnership track with a shareholder...

Billing Reimbursement Collection SpecialistInterested in this role You can find all the relevant information in the description below.POSITION SUMMARY:The Billing Reimbursement Collection Specialist is responsible for ensuring cash flow for services provided. The individual in this position may cross train in more than one area of A/R Management. In general,...