• Claims Auditor II

    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
    Martin's Point Health Care (10/23/24)
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  • Clinical Provider Auditor II

    Elevance Health (MD)
    **Clinical Provider Auditor II ** **Supports Payment Integrity & Behavioral Health** _Lo_ _cation: This position will work a hybrid model ( remote and office). ... to improve the delivery of care. The **Clinical Provider Auditor II ** is responsible for identifying issues...abuse. **How you will make an impact:** + Examines claims for compliance with relevant billing and processing guidelines… more
    Elevance Health (10/24/24)
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  • Senior Compliance Coding Auditor

    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
    Nuvance Health (10/29/24)
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  • Accountant I/ II /Senior

    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 (11/09/24)
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  • Senior Accounting Assistant

    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
    Ventura County (10/18/24)
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