Post Payment Claims Audit Specialist

About the Role:We are looking for a seasoned ICU RN Auditor to oversee the review and analysis of patient data, ensuring compliance with regulatory guidelines and industry standards.Key Responsibilities:Conduct thorough audits of patient records to identify potential issues and areas for improvementCollaborate with healthcare professionals to address...

AIA is committed to helping our customers and the community live Healthier, Longer, Better Lives. As a Claim Settlement Specialist, you will play a vital role in achieving this goal by ensuring that insurance claims are processed efficiently and effectively.Your key responsibilities will include assessing and settling insurance claims, making recommendations...

Linda Hausermann & Associates is committed to providing exceptional patient care, and we need talented professionals like you to help us achieve this goal. As an ICU RN Auditor, you will play a critical role in ensuring the accuracy and integrity of our clinical data.The successful candidate will have a solid foundation in nursing, with a minimum of 5 years...

About the JobWe are actively hiring a Claims Specialist to join our team at Nezda Global.The successful candidate will be responsible for reviewing and analyzing insurance claims, communicating with stakeholders, and ensuring timely and efficient resolution of claims.Responsibilities:Review and analyze insurance claims to determine validity and...

Linda Hausermann & Associates is a leading provider of healthcare services, and we are committed to hiring the best talent in the industry. As an Auditor and Registered Nurse, you will play a vital role in ensuring the accuracy and integrity of our clinical data.The successful candidate will have a solid foundation in nursing, with a minimum of 5 years of...

Company Overview\TASQ Staffing Solutions is a staffing solutions company that connects talented individuals with top companies. Our mission is to provide exceptional recruitment services and help our clients achieve their goals.\ \Job Description\We are seeking a highly skilled PHRN (Public Health Registered Nurse) professional with experience in claims...

Job SummaryWe are seeking a skilled Claims Specialist to join our team at Nezda Global.About the RoleThis is an exciting opportunity for individuals who possess strong analytical and communication skills, with a focus on resolving insurance claims in a timely and efficient manner.Salary Range: P30,000 - P35,000 per month.Key ResponsibilitiesReview and...

Accounting Operations TeamWe are dedicated to growing and developing our employees as we build strong teams with strategic leadership.ResponsibilitiesCreate settlement runs for all payment methods.Resolve Positive Pay exceptions.Research payment failures to determine root cause and corrective action.Initiate check voids and reissues as necessary.Place...

About the Opportunity:Sun Life Financial is seeking a skilled Disability Case Specialist to join our team. As a key member of our healthcare team, you will have the opportunity to make a meaningful impact on the lives of our clients and employees.Key Responsibilities:Adjudicate disability claims and coordinate interventions to ensure timely and effective...

Select how often (in days) to receive an alert:Department: AP Internal Audit - Support OperationsWork Arrangement: HybridAudit Specialist - Support OperationsThe Support Operations Auditor will be responsible for implementing and leading the activities of the support operations audit team by reviewing and preparing audit reports and recommending improvements...

Job Summary\TASQ Staffing Solutions is hiring a PHRN with claims experience to join our dynamic team. This role offers an exciting opportunity to work in a fast-paced environment and contribute to the success of our clients.\Responsibilities\Evaluate and manage healthcare claims to ensure accurate and timely paymentProvide exceptional customer service and...

As a Medical Record Analyst at Go-Get Data Consultancy, you will be responsible for reviewing and assessing medical records, coding accuracy, and documentation compliance in ICU settings. This is a challenging role that requires a strong background in critical care nursing, medical auditing, and regulatory compliance.ResponsibilitiesConduct audits of ICU...

Nezda Global: A Career OpportunityWe are proud to offer a challenging and rewarding career opportunity for a Claims Specialist at Nezda Global.In this role, you will have the opportunity to work with a talented team of professionals, leveraging your analytical and communication skills to resolve insurance claims efficiently.Benefits:A competitive salary...

At Go-Get Data Consultancy, we are seeking a detail-oriented and experienced ICU RN Auditor to review and assess medical records, coding accuracy, and documentation compliance in intensive care unit (ICU) settings. The ideal candidate will have a strong background in critical care nursing, medical auditing, and regulatory compliance to ensure adherence to...

Job Details:We are seeking a highly skilled ICU RN Auditor to support the review and analysis of patient data, ensuring compliance with regulatory guidelines and industry standards.Main Responsibilities:Conduct thorough audits of patient records to identify potential issues and areas for improvementCollaborate with healthcare professionals to address...

Audit Specialist - Support OperationsThe Support Operations Auditor plays a critical role in implementing and leading the activities of the support operations audit team.This role involves reviewing and preparing audit reports, as well as recommending improvements to financial, operational, and managerial processes and systems. The ideal candidate will...

This is an exciting opportunity to join Principal Global Services as a STD/Pregnancy Claims Resolution Specialist. In this role, you will be responsible for managing all STD/Pregnancy claims per department guidelines, making timely and accurate decisions as outlined in the performance expectations.The successful candidate will possess excellent communication...

Job OverviewThe Payments Team Lead is responsible for overseeing a team of payment processing specialists to ensure timely, accurate, and secure transaction processing. This role requires strong leadership skills, a deep understanding of payment operations, and the ability to optimize workflows while ensuring compliance with industry regulations.

Job Description:The AP Invoicing and Payment Coordinator will be responsible for performing daily accounts payable invoicing and payment tasks, including obtaining and/or verifying approvals, journalizing, payment preparation, and ensuring compliance with approval matrix and related policies for all invoicing and payment transactions.Main...

Job OverviewWe are seeking a motivated Accounts Payable (AP) Invoice Processing Specialist to join the Accounting Operations team at Archgso. The AP Invoice Processing Specialist is responsible for processing supplier invoices and claims payment requests in our Workday ERP system.Key ResponsibilitiesProcess vendor invoices and payment requests in a timely...