Claims Auditor-DME(Durable Medical Equipment) and HCD9High cost Drugs0 claims auditing

We're committed to providing the best health coverage to over 1.8 million members and take an active role in promoting wellness. · Working at Alberta Blue Cross means having a career where you'll be recognized for your contributions. · Claims Audit and Investigation Services cond ...

We're committed to providing the best health coverage to over 1.8 million members and take an active role in promoting wellness. · We value diversity, encourage our team members to maintain a healthy work-life balance and provide opportunities for career growth. · This position ...

The Audit Claims Investigator is responsible for identifying and investigating pharmacy providers, plan members, and prescribers for fraud, waste, and abuse risks associated with ESC's clients. · ...

The Audit Claims Investigator is responsible for identifying and investigating pharmacy providers, · plan members,and prescribers for fraud,waste,and abuse risks associated with ESC's clients. · In addition,the incumbent will participate in identifying and recommending policy pro ...

We are seeking a forensic accountant to help understand profit claimed under insurance claims. · ...

We are building a robust claims handling solution in Filemaker,We need someone who performs similar work: Claims Management with Audit Billing solutions. · A contract duration of 3-6 months with 10 hours/week.Familiarity with Claris FileMaker, · Databases Development, · API Integ ...

We're seeking a Reporting, Recovery, and Investigation Officer to join our team. This role requires managing multiple requests, coordinating collection activities, compiling reports to internal and external stakeholders. · ...

++Nous sommes à la recherche d'un Gestionnaire en comptabilité forensique pour rejoindre notre équipe passionnée. · + · +Gérer des mandats en comptabilité forensique · Planifier et diriger l’exécution de mandats d’enquêtes et de litiges · Réviser et finaliser les rapports en com ...

Nous sommes à la recherche d'un Directeur Juricomptabilité pour rejoindre notre équipe passionnée. Le poste offre un bon équilibre travail–vie personnelle, une rémunération compétitive et d'excellents avantages. · ...

Se busca un Gerente con habilidades analíticas y auditoras para unir su pasión y dedicación. Se ofrece un buen equilibrio trabajo-vida personal, remuneración competitiva y excelentes beneficios. · ...

Williams Meaden and Moore est un cabinet-boutique offrant des services de juricomptabilité. · Nous sommes à la recherche d'un Juricomptable Senior ayant de solides capacités analytiques, · Responsabilités :Examiner des données financières pour identifier des écarts ou irrégularit ...

Nous recherchons un commis comptable minutieux et expérimenté dans les systèmes de facturation. · - Trier et classer les réclamations des clients et des consommateurs, · - Valider l'admissibilité conformément aux politiques internes en matière de garantie et d'activité, · - S'ass ...

+Job summary · Conduct audit and claims operations for clients. · Analyzes client financial information to identify variances and errors in procurement and payment processes. · +ResponsibilitiesUtilizes appropriate audit concepts and proprietary tools/reports to conduct audit by ...

+Gestionamos mandatos en contabilidad forensica asistiendo clientes e informando fiscalizadores. · ...

We are seeking an experienced and certified medical coder to join our team on a part-time basis.Key Responsibilities: · Perform original coding for professional and institutional claims. · Conduct coding audits to ensure accuracy and compliance with payer guidelines. · ...

Scotlynn is seeking an experienced Claims Team Lead to lead the end-to-end claims lifecycle and ensure regulatory compliance across transportation operations. · Investigate auto, cargo and liability claims. · Evaluate liability exposure and recommend settlement strategies. · ...

We are seeking an experienced Safety & Claims Team Lead to oversee the investigation, evaluation, and resolution of claims filed by customers or third parties. · ...

Williams Meaden and Moore est un cabinet-boutique offrant des services de juricomptabilité à des compagnies d'assurance, · des conseillers légaux et des agences gouvernementales. · ...

We're seeking a Director Corporate Claims Quality Assurance who shares our values of integrity innovation passion caring trust participation heart mind teamwork collaboration leadership accountability business acumen change agility diversity inclusion equity access opportunity fa ...

We are looking for a Claims Review Specialist. The Claims Review Specialist is responsible for conducting standard claims reviews of providers and members. · ResponsibilitiesConduct claims reviews, including assessment of documentation for preselected claims · ...