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Accurately and timely audits medical claims. This position organizes, audits and reports on all claims for assigned states.... - Indeed
The policyholder may have multiple policies under which the claim may be processed. The specific data from the claim material is entered into the system, and... - Indeed
Pharmacy Claims Auditor I. The Pharmacy Claims Auditor I is responsible for conducting retail pharmacy network compliance audits and credentialing to ensure... - Indeed
We are currently seeking a dynamic Claims Auditor I to join our team at our office in Latham, New York The Claims Auditor I is responsible for auditing a... - Indeed
Claim Auditor - New Position Announcement. The Claim Auditor is responsible for auditing self-funded and fully insured claims following the Key Family... - Indeed
The Specialty Risk Claims Auditor is responsible for testing the compliance and effectiveness of the claims adjustment processes of third party administrators,... - Indeed
Performs increasingly difficult office audits of claims and other business records and documents to determine or verify compliance with laws and regulations.... - Indeed
Performs concurrent claims audits on new Claims examining staff and on claims processed by existing Claims staff as outlined in Claims Operating Instruction... - Indeed
Works both independently and in a team environment that may be comprised of medical professionals, claims analysts and auditors.... - Indeed
Ø The ability to audit claims with multiple coverages and complexity, while determining if the claim was payable in accordance with various policy provisions.... - Indeed
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