Jobs near Hanover: 8,427
RS
Relevance Score ranked on: COMPENSATION
Clinical Provider Auditor I
HANOVER, 7550 TEAGUE RD, STE 500
Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations an...
Search Terms: Auditor, Clinical, Audit, Accounting, Healthcare
70.2
0mi
Updated: September 19
Clinical Provider Auditor I
HANOVER, 7550 TEAGUE RD, STE 500
Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations an...
Search Terms: Auditor, Clinical, Audit, Accounting, Healthcare
70.2
0mi
Updated: September 19
Investigator Assistant
HANOVER, 7550 TEAGUE RD, STE 500
Collects, researches, and validates bills and claims data against relevant guidelines. Assists in preparation of statistical and financial analysis reports. Requests medical records and additional documentation required for investigation. Completes initial file set-up and tracks cases. Processes and ...
Search Terms: Investigator, Assistant, Technology, Healthcare, Compensation
70.2
0mi
Updated: September 19
Clinical Provider Auditor II
HANOVER, 7550 TEAGUE RD, STE 500
Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations an...
Search Terms: Auditor, Clinical, Audit, Behavioral Health, Accounting
70.2
0mi
Updated: September 19
Clinical Provider Auditor II
HANOVER, 7550 TEAGUE RD, STE 500
Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations an...
Search Terms: Auditor, Clinical, Audit, Behavioral Health, Accounting
70.2
0mi
Updated: September 19
Investigator II
HANOVER, 7550 TEAGUE RD, STE 500
Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims. Responsible for identifying and developing enterprise-wide specific healthcare investigations that may im...
Search Terms: Investigator, Insurance, Healthcare, Health, Compensation
70.2
0mi
Updated: September 19
Clinical Provider Auditor II
HANOVER, 7550 TEAGUE RD, STE 500
Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control. Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations an...
Search Terms: Auditor, Clinical, Audit, Behavioral Health, Accounting
70.2
0mi
Updated: September 19
eCOB Specialist II
HANOVER, 7550 TEAGUE RD, STE 500
Utilizes internal queries, internal resource tools, must initiate delicate-in-nature phone calls to other carriers, members, groups, providers, attorneys, CMS and Medicaid and report to identify members who are or should be enrolled in other coverage. Aides members in enrolling in Medicare when they ...
Search Terms: Specialist, Benefits, Healthcare, Compensation, Health
65.5
0mi
Updated: August 16
Audit & Reimbursement Lead
BALTIMORE, 2245 ROLLING RUN DR, STE 9
Reviews work of the associates to ensure they are following the appropriate guidelines. Provides training/mentoring both in a formal and informal setting. Monitors workload inventory to ensure timely completion. Handles complex case research and resolutions. Assists management with workload and finan...
Search Terms: Audit, Lead, Healthcare, Business Services, Benefits
63.5
9.8mi
Updated: September 17
Audit & Reimbursement III- Medicare Cost Report Audit
BALTIMORE, 2245 ROLLING RUN DR, STE 9
Analyzes and interprets data and makes recommendations for change based on judgment and experience. Able to work independently on assignments and under minimal guidance from the manager. Prepare detailed work papers and present findings in accordance with Government Auditing Standards (GAS) and CMS r...
Search Terms: Audit, Auditor, Project Management, Accounting, Healthcare
63.5
9.8mi
Updated: September 17
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