2,554 Results for

Auditing Jobs in Spring Valley, NY

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Configuration Analyst Delta Dental Plan of Illinois

Naperville, IL

$60,000–$75,000 / year

Prior experience in database/data flow management, business analytics, SQL, programming languages or tools such as Business Objects, Footprints, Salesforce and/or Crystal Reports is highly desired. Become a subject matter expert in using system configuration tools to support business and user needs for dental policy interpretation, plan building, claims administration, processing policies, billing, contracts, correspondence and dental insurance coding.

26 days ago

Specialist, Appeals & Grievances Medicaid - Remote (CST Hours) Molina Healthcare Inc

Remote

Requests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of responses per state, federal and Molina guidelines. Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or regulatory timelines are met.

11 days ago

Consultant, Payment Intelligence AArete

Chicago, Illinois

$84,000–$102,000 / year

AArete, LLC (“AArete”) may utilize Artificial Intelligence/Automated Decision-Making Technology/Automated Employment Decision Technology tools and resources (“AI” or “tools” or “resources”) to assist humans in generating job descriptions and postings, recruitment, analyzation of information, screening candidates, evaluation of candidate information, and assisting humans in the selection of potential candidates by all levels of AArete employees for all positions. We’ve earned a Great Place to Work Certification and been named a World’s Best Management Consulting Firm by Forbes, Vault’s Top 50 Firms to Work For, Crain's Chicago Business Fast 50, Inc 5000’s Fastest Growing Firms, and Consulting Magazine's Fastest Growing Firms. . .

30+ days ago

Personal Lines Account Manager Gpac

Naperville, IL

65000–75000
Quick Apply

GPAC (Growing People and Companies) is an award-winning search firm specializing in placing quality professionals within multiple industries across the United States since 1990. We are extremely competitive, client-focused and realize that our value is in our ability to deliver the right solutions at the right time.

24 days ago

Counsel, Litigation and Compliance Lee Hecht Harrison

Chicago, IL

$170,000–$200,000 / year

This role reports directly to the General Counsel, who came to Ryerson as a Senior Counsel and is looking to mentor towards long-term growth within the organization's collegial and tenured legal department. Reporting directly to the General Counsel - North America & Chief Compliance Officer, this attorney will support litigation, employment, compliance, insurance, and risk management matters across the organization.

18 days ago

Associate Service Account Manager UnitedHealth Group Inc

Chicago, IL

$24–$43 / hour

Effectively interface with all internal and external partners toward the common goal of providing exceptional customer service to the University students and Administration to ensure that the Company's short - and long - term goals are met as it relates to the student health insurance plan. The Associate Service Account Manager serves as a key liaison between university departments, students, and health insurance providers to ensure smooth administration of student health plans.

11 days ago

Associate Service Account | , Pennsylvania Genoa Telepsychiatry

Chicago, IL

$20–$36 / hour

21 days ago

Full Stack Software Engineer Miller Cooper

Winter Park, FL, IL

Remote

$125,000–$145,000 / year

Individual salaries that are offered to a candidate are determined after consideration of numerous factors including internal equity, market data, the candidate’s qualifications- including but not limited to specialty skills, prior relevant industry experience, relevant degrees or certifications. Hands-on experience with healthcare claims processing, including 837 (institutional/professional) claim formats and 835 remittance files, with an understanding of payer workflows, claim adjudication, and revenue cycle processes.

30+ days ago

Healthcare Auditor & Coding Consultant, Forensics and Compliance Stout

Chicago, Illinois

One or more active coding, auditing, billing, or HIM credentials preferred, such as CCS, CIC, CPC, COC, CPMA, CHCA/CHCAF, CPB, RHIT, RHIA, or a comparable credential. Demonstrate integrity and embody Stout's core values: Positive and Team-Oriented, Accountable, Committed, Relationship-Focused, Super-Responsive, and Great Communicators while delivering Relentless Excellence®.

30+ days ago

Senior Clinical Coding Analyst TriWest Healthcare Alliance

Chicago, IL

Remote

Full time

Provides coding-related information to medical directors, providers, peer reviewers, Claims Administration, Program Integrity, Quality Management and the claims subcontractor as needed. • Current certification as Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Professional Coder (CPC).

13 days ago

Vice President of Sales SPS North America

Chicago, IL

Remote

$160,000–$190,000 / year

Across North America, we help clients enhance workplace experiences and business operations through services including workplace support, physical and digital mailroom solutions, intelligent document processing, reception and concierge services, and other business support offerings. Develop solutions spanning business process outsourcing; document intake, digitization and records management; claims processing; payments, remittance and lockbox processing; customer communications; intelligent document processing; back-office operations; and technology-enabled managed services.

17 days ago

Senior Product Owner Office Ally

Chicago, IL

$115,000–$125,000 / year

This role mentors others in product-related functions, consistently delivers products and solutions that delight customers, meet or exceed business expectations, and are delivered on time and within budget, and acts as a Subject Matter Expert by demonstrating product functionality to internal and external groups as needed. We offer a range of affordable, cloud-based revenue cycle management solutions –from eligibility verification and claims management to revenue recovery and payment processing –that help healthcare organizations of all sizes streamline operations and reduce administrative burdens so they can focus on what matters most: patient care.

2 days ago

Director of Product, Provider Software (Office Ally) Office Ally

Chicago, IL

$155,000–$170,000 / year

We offer a range of affordable, cloud-based revenue cycle management solutions –from eligibility verification and claims management to revenue recovery and payment processing –that help healthcare organizations of all sizes streamline operations and reduce administrative burdens so they can focus on what matters most: patient care. You'll allocate budgets, headcount, and capacity, and lead annual planning with full integration of vision, strategy, and roadmap frameworks, ensuring your team delivers products that meet customer needs and company goals.

4 days ago

Technical Account Manager RedSail Technologies, LLC

Oak Brook, IL

$85,000–$120,000 / year

Acting as the customers trusted operational advisor and primary point of contact for technical and service delivery matters, the Technical Account Manager develops a deep understanding of each customers business, pharmacy operations, systems, and strategic priorities. When escalation is required, engage Engineering, Product, Network Operations, or other internal teams with complete technical context while remaining the customers single point of accountability until resolution is achieved.

30+ days ago

Coding Investigator Auditor - Work From Home Health Care Service Corp

Chicago, IL

Remote

$63,300–$114,300 / year

Coordinating with all departments involved in each case required such as medical director special investigations, customer service, pass, network management, marketing, case management, medical review, legal, pricing and database. This position is responsible for auditing clinical, billing, coding and lowest cost setting reviews for services pre and post payment utilizing medical, contractual, legislative, policy, and other information to validate claims submitted and billed.

15 days ago

Finance Lead - Market Access Commercial Pricing AbbVie Inc

The amount and availability of any bonus, commission, incentive, benefits, or any other form of compensation and benefits that areallocable to a particular employee remains in the Companys sole and absolute discretion unless and until paid and may be modified at the Company's sole and absolutediscretion, consistent with applicable law. Applicable only to applicants applying to a position in any location with pay disclosure requirements under state or local law: The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this roleat the time of this posting based on the job grade for this position.

30+ days ago

Inside Sales Representative Combined Metals Company

Elgin, Illinois

Combined Metals has nine service centers supporting over 3,000 customers in the Aerospace, Defense, Nuclear, Medical, Petrochemical, Oil & Gas, Electrification, Automotive, and Consumer industries. Develop quotations in cooperation with the Regional Sales Manager(s) or Sales Manager based on identified sales strategy and information collected from customers.

30+ days ago

Warranty Specialist WarrCloud

Chicago, IL

Remote

Determine additional information to obtain from the customer, review additional information provided, and determine if the additional information obtained is sufficient or if further clarification or details are advisable to obtain from the dealership in order to achieve maximum payment on the claim for the dealership. Collaborate with cross-functional teams, including customer success, technical support, product, and development, to address warranty claim trends and drive process improvements.

30+ days ago

Customer Relations Representative - State Farm Agent Team Member Bryan Solis - State Farm Agent

North Chicago, IL

Full time

Working alongside Bryan Solis, your responsibilities will include: Customer Support: Providing excellent customer service by promptly responding to inquiries, answering questions, and offering expert guidance on insurance products and coverage options. About State Farm: State Farm is a renowned insurance and financial services company committed to helping individuals manage life's uncertainties, recover from unexpected events, and realize their dreams.

26 days ago

Customer Service Representative - State Farm Agent Team Member Bryan Solis - State Farm Agent

North Chicago, IL

Full time

26 days ago

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Auditing Jobs in Spring Valley, NY

Configuration Analyst Delta Dental Plan of Illinois

Specialist, Appeals & Grievances Medicaid - Remote (CST Hours) Molina Healthcare Inc

Consultant, Payment Intelligence AArete

Personal Lines Account Manager Gpac

Counsel, Litigation and Compliance Lee Hecht Harrison

Associate Service Account Manager UnitedHealth Group Inc

Associate Service Account | , Pennsylvania Genoa Telepsychiatry

Full Stack Software Engineer Miller Cooper

Healthcare Auditor & Coding Consultant, Forensics and Compliance Stout

Senior Clinical Coding Analyst TriWest Healthcare Alliance

Vice President of Sales SPS North America

Senior Product Owner Office Ally

Director of Product, Provider Software (Office Ally) Office Ally

Technical Account Manager RedSail Technologies, LLC

Coding Investigator Auditor - Work From Home Health Care Service Corp

Finance Lead - Market Access Commercial Pricing AbbVie Inc

Inside Sales Representative Combined Metals Company

Warranty Specialist WarrCloud

Customer Relations Representative - State Farm Agent Team Member Bryan Solis - State Farm Agent

Customer Service Representative - State Farm Agent Team Member Bryan Solis - State Farm Agent

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