Claims Validation Jobs

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128 Claims Validation jobs found on Monster.

Jobs 1 to 20 of 128
Judge Healthcare is seeking a DRG Validation Auditor for one of our best clients in the Milton, MA area. The responsibilities include: Conduct audits of inpatient paid claims to verify the accuracy of claims reimbursement. Responsible for the development and implementation of audit strategies. Achieve recovery results by applying clinical and coding knowledge to identify errors and potential overp...
DRG Validation Auditor (Remote) CGI Federal, a wholly owned subsidiary of CGI, and a leader in providing clinical auditing services to public and commercial healthcare payers throughout the US, has openings for DRG Validation Auditors. As members of CGI Federal ‘s DRG Validation Team, incumbents will be responsible for reviewing medical records to determine the accuracy of coding and reimbursement...
Overview: Brief Summary: Supports in the development of test plan, test procedures, test cases and post test analysis reports, as required by the program. This position directly supports the Space and Naval Warfare (SPAWAR) System Center Pacific (SSC-PAC) Code 53527, Next Generation Command and Control Processor (NGC2P) Independent Verification and Validation (IV&V) and other Joint Test and Evalua...
The scope of this effort is for the candidate to provide software support services in the areas of records management, document management, and the Paperless application. Expertise in technical areas of records management, systems architecture, workflow processing, and related technologies will be needed. . Specifically, Application Lifecycle Manager (ALM), Quick Test Professional (QTP), JCL, ISPF...
Overview: Brief Summary: Performs research, analysis and development of test cases based on Military Standard defined TDL’s (e.g. Tactical Data Links MIL-STD 6016 and MIL-STD-3011). Directly supports the Space and Naval Warfare (SPAWAR) System Center Pacific (SSC-PAC) Code 53527, Next Generation Command and Control Processor (NGC2P) Independent Verification and Validation (IV&V) and other Joint Te...
Claims Adjusting Analyst Job in Sharonville, OH A leading provider within the sales and service industry has an opening for a Claims Adjusting Analyst job located in Sharonville, OH. They are seeking a self-motivated individual with great problem solving skills on a temp-to-hire basis to assist them with the validation of promotional deductions. The major job responsibilities for the Claims Adjust...
This position will be responsible for supporting specified corporate claims applications that are supplied and/or managed by external vendors. The level of support will vary by business area/insurance product, but will include trouble-shooting problems, developing/communicating solutions, application configuration and interfacing with vendor technical staff. Responsibilities Expertise in the funct...
The Claims Data Analyst serves a health insurance claims data analyst for Medicaid and CHIP. ESSENTIAL DUTIES AND RESPONSIBILITIES Essential duties and responsibilities include the following. Other duties may be assigned. Responsible for the integration of CNI Core Competencies into daily functions, including: commitment to integrity, knowledge/quality of work, supporting financial goals of the co...
About Aon Hewitt Aon Hewitt empowers organizations and individuals to secure a better future through innovative talent, retirement and health solutions. We advise, design and execute a wide range of solutions that enable clients to cultivate talent to drive organizational and personal performance and growth, navigate retirement risk while providing new levels of financial security, and redefine he...
Please can you email to me an updated resume and call me to discuss. Medicaid Claims Business Analyst Location : Baltimore MD Full Time position with benefits DOE The Business Analyst position is an important position on the Centers for Medicare & Medicaid Services (CMS) Financial Management Program Support project. Overall, the position requires establishing requirements, developing business proc...
BASIC FUNCTION:This position is responsible for developing, updating and maintaining of technical claims processes and programs. Duties include maintaining and updating ProClaim users and tasks, acting as a direct liaison to ProClaim from the department, maintaining updates to Webstrat, acting as a direct liaison to Webstrat (Ingenix), performing quality control validation for Webstrat and ProClai...
Company: Siemens Medical Solutions USA, Inc. Division: SMS - Health Services Location: PA - Malvern Req ID: 131832 Position Title: "Claims" 3rd Level Support Software Product Analyst 2 Experience Level: Not Indicated Education Required: Bachelors Degree or equivalent experience Travel Required: Yes Company Description: Siemens’ Healthcare Sector is one of the world's largest suppliers to the healt...
Organization Overview: Commonwealth Care Alliance is a rapidly growing nonprofit organization providing integrated healthcare and social support services to people with complex medical needs. Our patients are seniors and persons with disabilities covered under Medicaid or both Medicaid and Medicare. Our innovative care model is nationally recognized for its effectiveness in improving health outcom...
Current Need Clinical Content Analyst - Healthcare IT/Claims Performance Products Position Description The Clinical Content Analyst develops, maintains and supports clinical content for McKesson’s Claims Performance Product Line in a fast paced environment with contractually driven quarterly deliverables. The Claims Performance products are utilized by payer organizations to augment claims managem...
About Aon Aon plc (NYSE: AON) is the leading global provider of risk management, insurance and reinsurance brokerage, and human resources solutions and outsourcing services. Through its more than 65,000 colleagues worldwide, Aon unites to empower results for clients in over 120 countries via innovative and effective risk and people solutions and through industry-leading global resources and techni...
About Aon Hewitt Aon Hewitt empowers organizations and individuals to secure a better future through innovative talent, retirement and health solutions. We advise, design and execute a wide range of solutions that enable clients to cultivate talent to drive organizational and personal performance and growth, navigate retirement risk while providing new levels of financial security, and redefine he...
Description: UnitedHealthcare Community & State is seeking a Healthcare Economics Consultant with strong business acumen, budgeting/forecasting and financial reporting experience, and well developed financial modeling skills to join our Minnetonka, MN team. As a Healthcare Economics Consultant, you would be an integral part of shaping our Payment Integrity affordability agenda, developing new fina...
CyberCoders Matching Great People with Great Companies Learn more about CyberCoders Business Systems Analyst Houston, TX; Spring, TX Full-Time $80,000 - $100,000 Posted 4/16/2014 Kylen Murphy is recruiting for this position. Email your resume to Kylen Apply Job Details Business System Analyst - Heathcare Claims Data, Payer Data, Healthcare analytics, Reporting & SQL You will be responsible for bus...
Company Confidential Providence, RI, 02903
At Blue Cross & Blue Shield of Rhode Island (BCBSRI), diversity and inclusion are central to our core values and strengthen our ability to meet the challenges of today's healthcare industry. BCBSRI is an equal opportunity, affirmative action employer. We provide equal opportunities without regard to race, color, religion, gender, age, national origin, disability, veteran status, sexual orientation...
Top Three Skills/Experience: · 5+ years of experience in Quality Assurance testing with a focus in ETL (Extract, Transform, Load) Testing · QA Testing experience must be in a manual testing environment, not an automated testing environment that predominantly utilizes testing tools, such as Quality Center or Rational Tools. The bulk of our testing work is performed by manually creating and executin...
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Answers for Claims Validation Jobs

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Should I send a letter of debt validation?
I got a call today from Creditors Interchange saying that I needed to call them over a claim of writing a bad check. In reality this is about a stop payment that I put on a check that at first I had ...
How to protect yourself against false collections claims?
Any suggestions, other than checking your credit report every month? (Do collections attempts show up on credit reports? I assume they would.) In the past couple years, both my boyfriend and I have...

Insurance Career Tools

Claims/Policy Processing Clerk

Salaries

$20,000.00 - $38,000.00
Typical Salary for Claims/Policy Processing Clerk
(47 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

Some College Coursework Completed
41.3%
Associates
21.7%
Bachelor's
21.7%
High School
10.9%
Master's
4.3%
(46 Respondents)
Source: Monster.com Careerbenchmarking Tool
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