Claims Quality Audit Representative

Imagine this. Everyday, in claims centers around the world, UnitedHealth Group is processing and resolving payment information for millions of transactions. Would you think we have some great technology? Would you think we know how to manage volume? You would be right. No one's better. And no company has put together better teams of passionate, energetic and...

Description: **Why work at nimble?** This is a great opportunity to join a well-established and market-leading brand serving a high-growth end market while gaining valuable experience working closely with Executive leadership. As an organization, we are in high-growth mode through acquisition with a laser focus on positive culture building! **Who we...

Role & responsibilitiesTo Audit daily allotted cases as per TargetTo compare the audit remarks received from the claims teamTo maintain quality while doing the auditTo coordinate with the provider network team and account managers or internalteams for additional Information about claims, tariff etc.To complete the Audit finding to a Logical endTo share the...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion,...

Job Title: SPE Reporting to: Team Manager/Team leader, Operations **Objectives** The SPE’s objective is to actively assist a team in accordance with laid down procedures to achieve and maintain requisite standards of quality and productivity. He / she will report to the Team leader/Team Manager, Operations, who will be the first point of contact for any...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance...

**Company Description** We help the world see new possibilities and inspire change for better tomorrows. Our analytic solutions bridge content, data, and analytics to help business, people, and society become stronger, more resilient, and sustainable. **Key Responsibilities**: - Design and develop robust APIs. - Design and implement scalable microservice...

Why work at nimble?This is a great opportunity to join a well-established and market-leading brand serving a high-growth end market while gaining valuable experience working closely with Executive leadership. As an organization, we are in high-growth mode through acquisition with a laser focus on positive culture building Who we arenimble solutions is a...

**Company Description** At Vroutes, we focus on creating coaction capabilities and empowering employers with the most precious asset-people. With a combination of innovative technology and personal touch, we have enabled marketing and advertising firms to achieve their vision. Founded in the year 2017 Vroutes have been striving hard to help agencies across...

Summary: This position is responsible for reviewing, analyzing, and validating claims, itemized bills and medical records to ensure accuracy of charges, compliance with payer guidelines, and adherence to contractual agreements.Responsibilities:• Review itemized bills, claims, and supporting documentation for accuracy and completeness.• Verify that...