Claims Processing Jobs in Westborough, MA
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Fwa Program Auditor I
University Of Massachusetts Medical School
Westborough - USA
OverviewUnder the general direction of the Associate Director or designee the Fraud Waste and Abuse (FWA) Auditor serves a crucial role in identifying investigating and preventing fraud waste and abuse for Medicaid programs. A major function of this position is to conduct desk and onsite audits acro...
Medical Program Integrity Auditor
University Of Massachusetts Medical School
Westborough - USA
OverviewUnder the general direction of the Associate Director or designee the Fraud Waste and Abuse (FWA) Auditor serves a crucial role in identifying investigating and preventing fraud waste and abuse for Medicaid programs. A major function of this position is to conduct desk and onsite audits acro...
Claims Processor
Procare Rx Career
Southfield - USA
Primary Duties:ï Receive analyze and process assigned claims by product (medical dental vision FSA or HRA) andgroup. Ensure accurate processing based on benefit plan design and/or regulations.ï Evaluate underpayments resolve non-payments and rejected claims. Follow through until theclaim is complete...
