Talent.com
Texas Licensed Medical Claims Auditor
Texas Licensed Medical Claims AuditorVirtualVocations • Fresno, California, United States
Texas Licensed Medical Claims Auditor

Texas Licensed Medical Claims Auditor

VirtualVocations • Fresno, California, United States
3 days ago
Job type
  • Full-time
Job description

A company is looking for a Medical Claims Auditor (Remote - Texas).

Key Responsibilities

Review medical claims and supporting documentation for accuracy and compliance

Validate coding accuracy using ICD-10, CPT, and HCPCS guidelines

Identify discrepancies in claims and communicate findings to the claims processing team

Required Qualifications

Minimum of 3 years of experience in handling appeal claims in a healthcare setting

Ability to interpret Explanation of Benefits (EOB) and UB-04 claim forms

Working knowledge of ICD-10, CPT, HCPCS, DSM-IV, and CMS-1500 forms preferred

Certification in medical coding (CPC, CCS, or equivalent) strongly preferred

Proficiency in Microsoft Office applications, particularly Excel and Word

Create a job alert for this search

Auditor • Fresno, California, United States

Related jobs
Illinois Licensed Claims Advocate

Illinois Licensed Claims Advocate

VirtualVocations • Fresno, California, United States
Full-time
A company is looking for a Claims Advocate - Trucking & Transportation Insurance.Key Responsibilities Serve as the primary contact for clients throughout the claims process, ensuring accurate fil...Show more
Last updated: 2 days ago • Promoted
California Licensed Compliance Auditor

California Licensed Compliance Auditor

VirtualVocations • Fresno, California, United States
Full-time
A company is looking for a Compliance Coding Auditor.Key Responsibilities Perform audits and chart reviews for inpatient and outpatient coding and billing compliance Collaborate with management ...Show more
Last updated: 2 days ago • Promoted
Travel Nurse RN - Oncology - $2,731 per week in Madera, CA

Travel Nurse RN - Oncology - $2,731 per week in Madera, CA

TravelNurseSource • Madera, CA, US
Full-time
TravelNurseSource is working with FlexCare to find a qualified Oncology RN in Madera, California, 93636!.FlexCare is a nationwide leader in the staffing of travel nurses and clinicians.With access ...Show more
Last updated: 5 days ago • Promoted
Psychiatric Technician (Safety)

Psychiatric Technician (Safety)

California Department of Corrections and Rehabilitation • Riverdale, California, US
Permanent
Psychiatric Technician (Safety) Job Description and Duties The Psychiatric Technician (Safety) will be directed by the Unit Supervisor, RN Shift Lead, Senior Psychiatric Technician, or Health Servi...Show more
Last updated: 30+ days ago • Promoted
Travel Nurse RN - Emergency Room (ER) / Trauma - $2,831 per week in Madera, CA

Travel Nurse RN - Emergency Room (ER) / Trauma - $2,831 per week in Madera, CA

TravelNurseSource • Madera, CA, US
Full-time
TravelNurseSource is working with Medical Solutions to find a qualified ER / Trauma RN in Madera, California, 93636!.A facility in Madera, CA is seeking its next amazing RN (Registered Nurse) to work...Show more
Last updated: 10 days ago • Promoted
Travel Nurse RN - Oncology - $2,560 to $2,838 per week in Madera, CA

Travel Nurse RN - Oncology - $2,560 to $2,838 per week in Madera, CA

TravelNurseSource • Madera, CA, US
Full-time
TravelNurseSource is working with LRS Healthcare to find a qualified Oncology RN in Madera, California, 93636!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits packa...Show more
Last updated: 11 days ago • Promoted
Travel Nurse RN - Emergency Room (ER) / Trauma - $3,007 per week in Madera, CA

Travel Nurse RN - Emergency Room (ER) / Trauma - $3,007 per week in Madera, CA

TravelNurseSource • Madera, CA, US
Full-time
TravelNurseSource is working with FlexCare to find a qualified ER / Trauma RN in Madera, California, 93636!.FlexCare is a nationwide leader in the staffing of travel nurses and clinicians.With access...Show more
Last updated: 5 days ago • Promoted
Travel Nurse RN - Oncology in Madera, CA

Travel Nurse RN - Oncology in Madera, CA

TravelNurseSource • Madera, CA, US
Full-time
TravelNurseSource is working with TNAA | TotalMed to find a qualified Oncology RN in Madera, California, 93636!.Travel Nurse Across America is seeking a qualified Oncology RN needed for travel nurs...Show more
Last updated: 11 days ago • Promoted
California Licensed Claims Adjuster

California Licensed Claims Adjuster

VirtualVocations • Fresno, California, United States
Full-time
A company is looking for a Workers Compensation Claims Adjuster.Key Responsibilities Execute decision-making to analyze claims exposure and litigation, planning the proper course of action to res...Show more
Last updated: 30+ days ago • Promoted
California Licensed Medical Biller

California Licensed Medical Biller

VirtualVocations • Fresno, California, United States
Full-time
A company is looking for a Medical Biller.Key Responsibilities Receive, prepare, and post payments for hospital services while ensuring accuracy Research and resolve unclear receipts and post pa...Show more
Last updated: 30+ days ago • Promoted
Arizona Licensed Medical Claim Nurse

Arizona Licensed Medical Claim Nurse

VirtualVocations • Visalia, California, United States
Full-time
A company is looking for an RN Medical Claim Review Nurse Remote.Key Responsibilities Perform clinical / medical reviews of medical claims and previously denied cases to ensure medical necessity an...Show more
Last updated: 1 day ago • Promoted
Licensed Claims Adjuster

Licensed Claims Adjuster

VirtualVocations • Fresno, California, United States
Full-time
A company is looking for a Senior Auto and General Liability Claims Adjuster - Public Entity Claims.Key Responsibilities Analyze claims exposure and execute decision-making to resolve claims effe...Show more
Last updated: 30+ days ago • Promoted
Travel Nurse RN - Oncology - $3,214 per week in Madera, CA

Travel Nurse RN - Oncology - $3,214 per week in Madera, CA

TravelNurseSource • Madera, CA, US
Full-time +1
TravelNurseSource is working with Prime Staffing to find a qualified Oncology RN in Madera, California, 93636!.Active State or Compact RN License. BLS – AHA; ONS Chemotherapy / Biotherapy Certificatio...Show more
Last updated: 11 days ago • Promoted
Travel Nurse RN - Emergency Room (ER) / Trauma - $3,163 per week in Madera, CA

Travel Nurse RN - Emergency Room (ER) / Trauma - $3,163 per week in Madera, CA

TravelNurseSource • Madera, CA, US
Full-time +1
TravelNurseSource is working with Prime Staffing to find a qualified ER / Trauma RN in Madera, California, 93636!.Registered Nurse – Emergency Department (ED). Minimum 2 years of recent ED experience ...Show more
Last updated: 10 days ago • Promoted
Travel Nurse RN - Pediatric ER - $3,254 per week in Madera, CA

Travel Nurse RN - Pediatric ER - $3,254 per week in Madera, CA

TravelNurseSource • Madera, CA, US
Full-time
TravelNurseSource is working with Cynet Health to find a qualified Peds ER RN in Madera, California, 93636!.Job Title : Pediatric Emergency Room Nurse Profession : Registered Nurse Specialty : Ped...Show more
Last updated: 10 days ago • Promoted
California Licensed Medical Director

California Licensed Medical Director

VirtualVocations • Visalia, California, United States
Full-time
A company is looking for a Medical Director of Pharmacovigilance.Key Responsibilities Lead global drug safety activities and ensure compliance with regulatory requirements for adverse event repor...Show more
Last updated: 30+ days ago • Promoted
Texas Licensed Claims Representative

Texas Licensed Claims Representative

VirtualVocations • Visalia, California, United States
Full-time
A company is looking for a Claims Representative - Product Liability.Key Responsibilities Analyze and process low level product liability claims to determine benefits due Negotiate settlement of...Show more
Last updated: 3 days ago • Promoted
Psychiatric Technician - Statewide in CA

Psychiatric Technician - Statewide in CA

California Department of Corrections and Rehabilitation • Raisin City, California, US
Full-time
Psychiatric Technician - Statewide in CA Position : Psychiatric Technician Location : Statewide - Multiple Locations Throughout California Annual Salary Range : $71,460 - $105,084 California Correctio...Show more
Last updated: 30+ days ago • Promoted