Medical Claims Auditor

Job OverviewClaims Processing SpecialistWe are seeking a dedicated professional to join our team at Complete Staffing Solutions. This role offers a unique opportunity to contribute to our claims processing operations.Position Details:Type: Full-Time – Temporary ContractSchedule: Monday to Friday; 8:00 AM - 5:00 PM, with remote work available on Fridays...

Company OverviewAt Erie Insurance, we pride ourselves on being a Fortune 500 company with a commitment to diversity and inclusion. Our workforce comprises over 6,000 dedicated employees and more than 13,000 independent agencies.Work EnvironmentOur employees operate from the Home Office complex and various Field Offices across multiple states.Comprehensive...

Company OverviewAt Erie Insurance, we pride ourselves on being a leading organization in the insurance sector, employing over 6,000 individuals and collaborating with more than 13,000 independent agencies across the nation.Employee BenefitsWe are committed to providing our employees with a comprehensive benefits package that includes:- Premier health,...

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...

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...

Job Summary:The Billing Reimbursement Specialist is a key member of the Absolute Companies team, responsible for ensuring seamless cash flow for services provided. This role requires a strong understanding of insurance billing requirements and the ability to analyze and review claims for accuracy.Key Responsibilities:Analyze and review insurance billing...

Job OverviewRevenue Cycle Management SpecialistMaking a difference in the community through effective financial practices.CommQuest Services, Inc. is in search of a dedicated Full-time Revenue Cycle Management Specialist to join our Finance department. The Revenue Cycle Management Specialist is responsible for overseeing and coordinating the various elements...

Job OverviewRevenue Cycle Management SpecialistMaking a difference in the community through effective financial practices.CommQuest Services, Inc. is in search of a dedicated Full-time Revenue Cycle Management Specialist to join our Finance department. This position is crucial for overseeing and coordinating various elements of the revenue cycle, ensuring...

Job OverviewA Healthcare Administrative Assistant, also known as a Medical Receptionist, plays a crucial role in supporting the operations of a medical practice or healthcare facility. This position involves a variety of responsibilities aimed at ensuring a smooth and efficient front-office environment.Key ResponsibilitiesGreet and assist patients upon their...

About UsPoint32Health is a prominent organization in the health and wellness sector, dedicated to enhancing personalized healthcare experiences for individuals in our communities. Building on the strong, nonprofit legacy of our founding entities, Tufts Health Plan and Harvard Pilgrim Health Care, we utilize our expertise to assist individuals in achieving...

About UsPoint32Health is a prominent organization in the health and wellness sector, dedicated to providing a personalized healthcare experience to individuals within our communities. We are building upon the legacy of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, utilizing our extensive experience to assist individuals in...

About UsPoint32Health is a prominent organization in the health and wellness sector, dedicated to providing a personalized healthcare experience to our community members. We build upon the strong, nonprofit foundations of our founding entities, Tufts Health Plan and Harvard Pilgrim Health Care, utilizing our expertise to assist individuals in achieving their...

Job Summary:The Billing Reimbursement Specialist is a key member of the Absolute Companies team, responsible for ensuring seamless cash flow for services provided. This role requires a strong understanding of insurance billing requirements, as well as excellent communication and analytical skills.Key Responsibilities:Analyze and review insurance billing...

About Point32Health, Inc.Point32Health, Inc. is a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our communities. Our organization is built on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, where we leverage our...

About the RolePoint32Health, Inc. is seeking a highly skilled and experienced Senior Account Manager to lead our Behavioral Health Provider Network team. As a key member of our organization, you will be responsible for cultivating and maintaining relationships with our network of behavioral health providers and trade associations across all geographic areas...

Job OverviewPosition: Service AdvisorCompany: Southeastern EquipmentSoutheastern Equipment is a comprehensive equipment dealership specializing in parts, service, sales, and rentals. As we continue to expand, we are excited to offer numerous opportunities for career advancement.Key Responsibilities:Quoting: Maintain accurate records, reports, and adhere to...

Job OverviewPosition: Service AdvisorCompany: Southeastern Equipment CompanySoutheastern Equipment Company is a comprehensive equipment dealership that excels in parts, service, sales, and rentals. As we continue to expand, we offer numerous opportunities for career advancement.Key Responsibilities:Quoting: Maintain accurate records, reports, and adhere to...

Job OverviewPosition: Service AdvisorCompany: Southeastern EquipmentSoutheastern Equipment is a comprehensive equipment dealership that excels in parts, service, sales, and rentals. As we continue to expand, we offer numerous opportunities for career advancement.Key Responsibilities:Quoting: Maintain accurate records, reports, and adhere to standard...

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 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 DescriptionJob DescriptionJob 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...

Job DescriptionJob DescriptionJob 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...

Job DescriptionJob DescriptionJob 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...

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 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 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...

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 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...

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...

Position Title: Claims Support SpecialistLocation: Remote opportunity available with a reputable organizationEmployment Type: Full-Time, Contractual PositionWork Schedule: Monday to Friday; 8:00 AM - 5:00 PMRole Overview: The Claims Support Specialist will be responsible for a variety of tasks essential to the claims processing workflow. This includes:1....

Position Title: Claims Support SpecialistLocation: Canton, MAOpportunity Overview: Join a reputable organization offering a full-time position on a three-month contract basis. The role includes remote work options after the initial training period, with standard hours from Monday to Friday, 8:00 AM to 5:00 PM.Key Responsibilities: - Prepare documentation for...

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...

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:...

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...

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...