Medicare/Medicaid Claims Audit Specialist

At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option (PACE) to the most vulnerable senior population while serving as a care provider and care plan to those individuals we serve. Our Health Plan Services team helps ensure excellent care delivery for our participants, and the Claims Audit Analyst plays...

A healthcare services company is seeking an Encounter Data Management Lead to ensure accurate submission of Medicaid and Medicare data. This role requires strong analytical skills, effective communication, and cross-functional collaboration. The ideal candidate has at least 2 years of experience in data management and proficiency in SQL. Responsibilities...

A leading healthcare company seeks an Insurance Product Compliance Lead to research regulations impacting insurance products. This role involves working with internal teams and regulatory bodies, ensuring compliance while protecting the company's brand. Candidates should have experience with Medicare/Medicaid and strong analytical skills. A detail-oriented...

Pay Range:Pay Range:$47.69 - $67.19Ensure SEARHC meets federal and state regulations and internal policies in regard to healthcare coding, documentation, and billing practices. Review health records to verify coding and clinical documentation meets applicable coding and billing requirements, Medicare/Medicaid regulations, federal and state laws, and SEARHC...

Medical Claims Specialist page is loaded## Medical Claims Specialistlocations: AK - Juneautime type: Full timeposted on: Posted Yesterdayjob requisition id: JR Pay Range:$25.00 - $28.45Under the direction of the Director of Purchased/Referred Care (PRC), the Medical Claims Specialist is primarily responsible for timely and accurately processing/payment of...

1 day ago Be among the first 25 applicants Pay Range: $25.00 - $28.45. Under the direction of the Director of Purchased/Referred Care (PRC), the Medical Claims Specialist is primarily responsible for timely and accurately processing and payment of medical claims into the PRC claims processing package while providing excellent customer service to claimants...

Pay Range: $25.00 - $28.45. Under the direction of the Director of Purchased/Referred Care (PRC), the Medical Claims Specialist is primarily responsible for timely and accurately processing/payment of medical claims into the PRC claims processing package while providing excellent customer service to claimants and vendors. Maintains good vendor relations,...

Pay Range:$ $28.45 Under the direction of the Director of Purchased/Referred Care (PRC), the Medical Claims Specialist is primarily responsible for timely and accurately processing/payment of medical claims into the PRC claims processing package while providing excellent customer service to claimants and vendors. Maintains good vendor relations, works...

A leading healthcare company seeks an Insurance Product Compliance Lead to research regulations impacting insurance products. Experience, qualification, and soft skills, have you got everything required to succeed in this opportunity Find out below. This role involves working with internal teams and regulatory bodies, ensuring compliance while protecting the...

Pay Range: Pay Range:$47.69 - $67.19Ensure SEARHC meets federal and state regulations and internal policies in regard to healthcare coding, documentation, and billing practices. Review health records to verify coding and clinical documentation meets applicable coding and billing requirements, Medicare/Medicaid regulations, federal and state laws, and SEARHC...