- Martin's Point Health Care (Portland, ME)
- …Position Summary: Under the supervision of the Director of Health Plan Operations, the Claims Auditor II will perform the following job functions: + ... Audit Development and Processing: The Auditor II will be responsible for developing...verbally or through written communications, regarding questions related to claims , claims audits or other matters directed… more
- Elevance Health (Columbus, OH)
- **Clinical Provider Auditor II ** **Supports the Payment Integrity line of business** _Location: This position will work a hybrid model ( remote and office). ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II ** is responsible for identifying issues and/or entities… more
- Nuvance Health (Danbury, CT)
- *Description* Fully remote opportunity within approved working states *Summary:* Reporting to the Special Associate Compliance Officer (SACO) Physician Audit & ... Billing, the Senior Inpatient Professional Auditor providesHospital Inpatient and Outpatient coding, billing, and documentation auditing and education to the NUVANCE… more
- Ventura County (Ventura, CA)
- …+ Learns to calculate and analyze (Accountant I) or calculates and analyzes (Accountant II ) Incurred but not Reported medical claims based on system generated ... available for some positions. + Telework Schedule - A remote hybrid telework schedule may be available for some...and reconcile (Accountant I) or reviews and reconciles (Accountant II ) bond claims to verify that charges… more
- Ventura County (Ventura, CA)
- …proficiency levels by exam are $.69 per hour (Level I), $1.00 per hour (Level II ), or $1.32 per hour (Level III). + Flexible Workweek/Telework Schedule - We support ... life balance by offering compressed work (eg, 9/80 or 4/10 workweek) and remote hybrid telework schedules for some positions subject to organizational needs and… more