- Molina Healthcare (Lincoln, NE)
- JOB DESCRIPTION Job Summary Provides support for claims recovery activities including researching claim payment and billing guidelines, audit results, and ... Standard Operating Procedures (SOPs). * Responds to provider correspondence related to claims recovery requests and provider remittances where recovery … more
- Carrington (Lincoln, NE)
- **Come join our amazing team and work remote from home!** The Sr Claims & Recovery Analysis Loss Specialist is responsible for ensuring the proper ... identified during the Quality Review Process, communicating findings to Loss Specialist for remediation. Ensure Loss Specialist provides corrections as… more
- Molina Healthcare (Lincoln, NE)
- …ICD-10, HCPCS codes is highly preferred. Additional experience with 2 years in claims auditing, QA, or recovery auditing ideally in a DRG/Clinical Validation ... a plus. Work hours: Monday - Friday 8:00am- 5:00pm Remote position **Essential Job Duties** * Performs clinical/medical reviews...health care coding or management certification. 2+ years in claims auditing, QA, or recovery auditing ideally… more