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Confidential
A company is looking for a Medicaid Claims Resolution Specialist. Key Responsibilities: Work on pending, denied, or incorrectly paid Medicaid claims Review and address issues causing claims to remain on hold Handle denials and appeals,...
Confidential
A company is looking for an Accounting Manager. Key Responsibilities: Managing the audit process and coordinating requests for all audits Preparing and reviewing financial statements Developing and executing internal auditing processes...
Confidential
A non-profit organization is seeking a Senior Manager of Mid-Level Philanthropy for a remote, full-time position. Key Responsibilities: Develop and implement a mid-level donor program, focusing on donor engagement and retention Create...
Confidential
A company is looking for a Claims Services Analyst to review managed care contracts and compare them against healthcare claims to identify underpayments for clients. Responsibilities: Thoroughly review managed care contracts and compare them...
Confidential
A company is looking for a Counsel Seniority Level: Mid-Senior Level. Key Responsibilities: Defend complicated benefits litigation matters including class actions and single-plaintiff lawsuits in both ERISA and non-ERISA contexts Handle...
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A company is looking for a Clinical Auditor for Utilization Management Operations in Remote USA. Key Responsibilities: Develop audit tools and conduct audits to ensure compliance with regulatory and operational standards Prepare audit findings...
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A company is looking for a Financial Management Staff Accountant. Responsibilities: Conduct assessments and audits to determine compliance with eligibility criteria Extract and summarize large amounts of data Perform all audit phases of...
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A company is looking for an Appellate Hearing Representative. Key Responsibilities: Analyze individual case information and review data, document images, and client witness discussions Prepare clients and their witnesses for unemployment...
Confidential
A company is looking for a Claims Quality Analyst. Key Responsibilities: Collect and review all necessary claim materials for audits Prepare audit documentation and participate in audit interviews Research and escalate negative findings and...
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A company is looking for a Security Analyst for a remote position. Key Responsibilities: Conduct security assurance activities, perform ITGC controls, and administer the GRC tool Assist with audit and regulatory requests, including SOC1, SOC2,...
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A company is looking for a Sr Claim Benefit Specialist. Key Responsibilities: Review and adjudicate complex, sensitive, and specialized claims in accordance with plan processing guidelines Act as a subject matter expert by providing training,...
Confidential
A company is looking for a Compliance Manager. Key Responsibilities: Assist in developing and implementing the bank?s Compliance program Coordinate audits, examinations, and compliance reviews Provide training on compliance matters and...
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A company is looking for a Profee Coding Educator and Auditor for Neurosurgery. Key Responsibilities: Audit and educate neurosurgery providers and coders based on review findings Deliver revenue cycle improvement services to healthcare...
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A company is looking for a Complaints & Grievances Specialist II. Key Responsibilities: Investigate and resolve member appeals, complaints, and grievances based on regulatory requirements Prepare State Fair Hearing packets and...
Confidential
A company is looking for a Claims Analyst for their Value Based Care - Client Operations team. Key Responsibilities: Process, review, audit, and investigate high-level coding discrepancies in claims Manage HCFA and UB92 Workflow Queues in the...
Confidential
A company is looking for a Senior Accountant to join their finance team remotely in the USA. Key Responsibilities: Maintaining financial records and reports, performing account reconciliations, and conducting internal audits Assisting with...
Confidential
A company is looking for a Compliance Quality Auditor. Key Responsibilities: Perform clinical compliance and quality audits to ensure compliance with regulations and contractual requirements Assist with data collection, analysis, and reporting...
Confidential
A company is looking for an Insurance Services Representative - Insurance Follow-up. Key Responsibilities: Maximize reimbursement by working accounts and resolving payer rejections and denials through the appeals process Perform systematic and...
Confidential
A company is looking for a Certified Inpatient Auditor. Key Responsibilities: Conduct inpatient auditing to ensure compliance with regulations and guidelines Utilize Epic 3M 360 CAC software for auditing purposes Collaborate with trauma and...
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A company is looking for a Certified Inpatient Coding Auditor II. Key Responsibilities: Review inpatient medical records for validation of DRG assignment Provide detailed rationale and supporting evidence for recommendation and findings...
Confidential
A company is looking for a Financial Analyst consultant to provide support for financial statement reporting, compilation, and audit remediation. Key Responsibilities: Perform federal accounting research and analysis Update the Annual Financial...
Confidential
A company is looking for a Sr. Coding Auditor. Key Responsibilities: Review health risk evaluations for completion and compliance with CMS guidelines Assess the accuracy and completeness of diagnosis codes in health risk evaluations Audit...
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A company is looking for an Accounts Receivable Medical Collections Specialist. Key Responsibilities: Review and work denials in workflow system, payer portal, and/or clearinghouse portal daily Prepare appeals as necessary and update...
Confidential
A company is looking for a Director of Corporate Quality Assurance. Key Responsibilities: Lead the Corporate QA team and oversee enterprise-wide process improvement initiatives Manage CQA master schedule, internal audit schedule, and external...
Confidential
A company is looking for an Assurance Staff Accountant. Key Responsibilities: Working on portions of audit, review, and compilation engagements Handling multiple tasks and managing schedules in alignment with department needs Thoroughly...
Confidential
A company is looking for a Telecommunications Billing Analyst to join their team. Key Responsibilities: Build and maintain positive relationships with telecommunications vendors Review and verify the accuracy of telecommunications invoices and...
Confidential
A company is looking for an Investor Accreditation Quality Assurance Specialist. Key Responsibilities: Review accredited investor applications and provide customer support Conduct quality assurance checks on accreditation verifications...
Confidential
A company is looking for an Accounting Associate to work remotely full-time. Key Responsibilities: Compiling, analyzing, and reporting financial data Maintaining accurate financial records Performing audits and resolving discrepancies...
Confidential
A company is looking for a Sr. Financial Analyst - IT Finance (Remote). Key Responsibilities: Develop annual budget and maintain monthly forecasts for assigned category Complete month-end accounting entries and account reconciliation Audit...
