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Senior Healthcare Claims Auditor jobs - Philadelphia, PA

Viewing 1 - 10 of 11 jobs

  • Senior Auditor

    Connolly - Conshohocken, PA

    Job Description The Senior Auditor position is responsible for leveraging Connollys existing library of proprietary ... of related experience, preferably in healthcare billing/claims processing or related environment Diverse...

    30+ days ago from Startwire

  • Senior Benefits Specialist

    Braskem - Philadelphia, PA

    safety issues and facilitate the containment of claims costs in Company health plans. · Key in/upload 401(k) deferral elections into ADP from ING and ensure all payroll and 401(k) files are transmitted timely and are reconciled (i.e. make...

    30+ days ago from ZipRecruiter

  • Senior Stop Loss Claims Auditor

    BlueCross BlueShield of SC - North Wales, PA

    authorize the reimbursement of specific medical stop loss claims. Effectively mitigate client medical stop loss claims ... of group insurance, managed care and direct medical claims products. Advanced knowledge of aggregate claims...

    2 days ago from CareerBuilder

  • SR CLAIMS REVIEW NURSE

    Cooper University Hospital - Cherry Hill, NJ

    Schedule and defend third-party audits. Defend hospital pricing policies to external auditors as needed. Report monthly collection data to Physicians and VP of Revenue Cycle. Perform special reviews upon request of medical records for...

    30+ days ago from Cooper University Hospital

  • Hospital Medical Auditor Senior, Medical Coder - #99218 (Various Anthem Inc. locations)

    Anthem - Wilmington, DE

    able to travel up to 10-15%. Provider Auditor or Provider Auditor SR level will be determined upon candidates' skills, ... // **Job** *Provider Network Management* **Title:** *Hospital Medical Auditor Senior, Medical Coder - #99218 (Various An...

    8 days ago from Anthem

  • Sr. Coding and Appeals Analyst- Certified Professional Coder

    Premier Healthcare Exchange - Bedminster, NJ

    appeals and assisting with process improvement in the Claims Editing Department. The Senior Analyst will have the ... client claims REQUIRED EXPERIENCE: · 5+ years healthcare and medical claims processing experience within a...

    26 days ago from Premier Healthcare Exchange, Inc

  • Sr. Coding and Appeals Analyst- Certified Professional Coder

    Pay-plus Solutions - Bedminster, NJ

    appeals and assisting with process improvement in the Claims Editing Department. The Senior Analyst will have the ... client claims REQUIRED EXPERIENCE: · 5+ years healthcare and medical claims processing experience within a...

    26 days ago from Pay-Plus Solutions, Inc.

  • Bus Info Analyst Sr., Consultant or Consultant Sr (Medicare) - 99013 - any Anthem location or Work@Home

    Anthem - Wilmington, DE

    analyzes business performance reports (e.g. for claims data, provider data, utilization data) and provides notations of performance deviations and anomalies. • Creates and publishes periodic reports, as well as any necessary ad hoc...

    1 day ago from Anthem

  • Nurse Audit Sr- 98745

    Anthem - Wilmington, DE

    claims processing and medical policy guidelines. DRG claims reimbursement experience. Some local or overnight ... Medical claims review with prior health care fraud audit/investigation experience preferred...

    10 days ago from Anthem

  • Manager, Actuarial Services

    Health Partners Plans - Philadelphia, PA

    Develop productive working relationships with members of senior management and interact with outside regulatory ... • Support Chief Actuary and other members of senior management with analysis and expertise to help inform and...

    30+ days ago from Health Partners Plans Inc.

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