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• Conduct comprehensive coding reviews to ensure accuracy in code assignment and reimbursement.
• Apply expert knowledge of coding guidelines and utilize industry-leading tools to maximize overpayment identifications.
• Craft clear, concise, and well-supported audit findings, backed by AHA Coding Clinic Guidelines and ICD-10-CM/PCS regulations.

Cohere Health's clinical intelligence platform delivers AI-powered solutions that streamline access to quality care by improving payer-provider collaboration, cost containment, and healthcare economics. The Coherenauts who succeed here are empathetic and believe diverse, inclusive teams make the most impactful work.

• Ensure adherence to payer requirements and internal compliance standards.
• Support audit readiness, reduce denials, and improve claim resolution.
• Maintain payer setup and readiness including fee schedules.

Expressable is a virtual speech therapy practice on a mission to transform care delivery and expand access to high-quality services, serving thousands of clients.

• Monitor data to meet timeliness and compliance standards.
• Assist with external audits and develop solutions for identified issues.
• Recommend process improvements to enhance efficiency and resource utilization.

BlueCross BlueShield of Tennessee has been helping Tennesseans find their own unique paths to good health since 1945 and is Tennessee's largest health benefit plan company.

• Complete monthly utilization management and appeals performance and process audits.
• Present audit results to leadership to address issues.
• Assist management in identifying, evaluating, and mitigating risks.

Judi Health provides a comprehensive suite of solutions for employers and health plans. They offer full-service health benefit management solutions and consolidate all claim administration-related workflows in one scalable, secure platform.

The Internal Auditor will provide independent assurance and advisory services designed to assist management in meeting strategic objectives. Travel to various Company locations and perform on-site property audits or investigations. Participate in evaluating internal controls supporting financial, operational and compliance objectives.

Since opening our first self-storage facility in 1972, Public Storage has grown to be the largest owner and operator of self-storage facilities in the world.

• Ensure timely and accurate payment of medical claims, following health plan policies and procedures.
• Maintain accurate and up-to-date notes of all claims processed.
• Process appeals and disputes by gathering and verifying claim information and communicating outcomes.

Sana Benefits aims to create an easy healthcare experience. They focus on providing seamless care and affordable benefits to small businesses.

• Perform coding audits and reviews on a variety of professional fee record types.
• Perform necessary research in order to provide the client with supportive regulatory and coding guideline documentation.
• Assist in the design and presentation of educational seminars to clients and staff.

UASI has over 40 years of experience and enduring partnerships with our valued clients, and is proud of the stability they’ve built and the long-term success of their dedicated team.

• Analyzes and processes complex veterinary claims, managing them to a timely resolution.
• Negotiates claim settlements and calculates appropriate reserves.
• Identifies fraud, subrogation, and recovery opportunities to reduce claim costs.

Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape.

• Assist clients in the initiation of auto insurance claims, providing guidance and support through the initial reporting process.
• Follow up with insurance companies to check on status of claims and troubleshoot any hold ups / blockers in their processing.
• Gather and review all necessary documentation related to insurance claims, including accident reports, policy details, and other relevant information.

Lendbuzz develops innovative technologies that provide underserved and overlooked borrowers with better access to credit.

• Serve as first level system support for each assigned client.
• Manage daily/weekly/annual incoming and outgoing file processing.
• Provide timely responses to client inquiries through research and analysis.

bswift transforms benefits administration, making it simpler and smarter. They serve thousands of companies and millions of people nationwide, reducing administrative burdens and freeing HR teams to focus on creating thriving workplaces.

• Act as the first point of contact to customers who are reporting an insurance claim.
• Gather and record all relevant information regarding the insurance claim and enter data into system.
• Provide ad-hoc administrative support to the claims department.

As Canada’s most cutting-edge home insurance carrier, Max Insurance is entering a period of exciting growth.

The Invoicing Specialist I assists the Submeter Billing department. The person ensures accuracy and timely entry of data in business systems. Job also requires providing customer support through data validation.

Genea participates in E-Verify to confirm the employment eligibility of all new hires working in the United States.

• Prepares invoice packages for Project Manager approval.
• Reviews subconsultant invoices for accuracy and compliance.
• Maintains project invoice/billing files and supporting documents.

Landrum & Brown is a global aviation consulting firm with airports at the core of our DNA.

• Manage service tasks, process renewals, and respond to policy-related inquiries.
• Maintain client satisfaction and ensure timely and accurate handling of insurance documents and communications.
• Assist clients in filing and updating insurance claims.

Leavitt Group is one of the largest privately-held insurance brokerages in the nation, with over 275 locations across 27 states.

• Manage a large inventory of claims ranging from minor to moderate complexity.
• Investigate, evaluate, negotiate, and settle auto and property damage claims for commercial rideshare and commercial GIG economy.
• Document claim files, send correspondence, and communicate with all parties involved.

Mobilitas is a commercial insurance company created by CSAA Insurance, aiming to reinvent commercial insurance in the mobility space by providing technologically advanced solutions. They foster a culture that encourages big thinking, fast action, and dedication to creating a company from the ground up.

In this customer-facing role, you’ll enroll users and provide information about training programs. You'll engage with customers to encourage participation and promote courses, driving satisfaction and advocacy. You'll manage invoicing, maintain Excel sheets, and support the management of Approved Trainers and Training Centers.

RWS unlocks global understanding, fundamentally recognizing the value of every language and culture, celebrating difference and believing diversity makes us strong.

• Evaluate and conclude claims identified by SIU Investigators.
• Investigate unusual, questionable, or suspicious claims or underwriting activity.
• Serve as the adjuster of record on transferred claims.

USAA's mission is to empower its members to achieve financial security through highly competitive products, exceptional service and trusted advice.

• Review invoices, expense reports, and credit card expenses for accurate coding to the general ledger.
• Assist with system administrator tasks for the expense management tool.
• Participate in month close as needed, preparing journal entries and reconciling accounts.

At charity: water, we believe that water changes everything and provide clean and safe drinking water to people around the world since 2006.

• Audit operational entries to ensure compliance with tariffs, Free Trade Agreements, duties, taxes, and regulatory standards
• Develop and maintain internal processes and procedures to enhance operational quality
• Provide training and coaching for new hires and existing staff on operational procedures, learning systems, and best practices

Jobgether uses an AI-powered matching process to ensure applications are reviewed quickly, objectively, and fairly against the role's core requirements. Their system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company.

Conducts medium- to high-complexity investigations into alleged fraud, waste and abuse. Assists with the administration of Program Integrity activities. Supports the execution and oversight of moderate- to high-complexity privacy-related compliance activities.

Central California Alliance for Health is an award-winning regional Medi-Cal managed care plan providing health insurance to residents in multiple counties.