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Sep 11, 2025

Nashville, TN

|

Claims/Denials

|

Contract-to-perm

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$22 - $28 (hourly estimate)

{"JobID":443356,"JobType":["Contract-to-perm"],"EmployerID":null,"Location":{"Latitude":-86.78,"Longitude":36.17,"Distance":null},"State":"Tennessee","Zip":"37211","ReferenceID":"NAS-5a562542-20e8-48a3-8531-e2c7cb78f5b3","PostedDate":"\/Date(1757617339000)\/","Description":"? Specialist performs pre- and post-payment audits of external claims; ensures that the company rigorously manages claims for external services; ensures that claims are paid according to contracted rates, for approved services, and are otherwise appropriate and correct; reviews and responds to claims submitted on appeal.? Support a remote claims processing team, including coordination with an offshore team based in India. ? Assisting with end-to-end claims process, ensuring accuracy, timeliness, and compliance. ? Assist with Processing \u0026 Review on complex claims, including Physician and Facility claims, medical claims, Medicare based cpt codes for federal inmates, FBOP side of the business? Provide expert guidance on CPT codes, UB04s, HICFA forms, DRGs, ICD-10, and appeals. - Address and resolve escalated claims issues and inquiries. - Collaborate with internal teams via Microsoft Teams, phone, and email. - Maintain documentation and reporting for claims activities and quality metrics. Communicate to Claims Leadership any issues that would impede the accurate and timely processing of claims.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global\u0027s Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.","Title":"Claims Specialist II","City":"Nashville","ExpirationDate":null,"PriorityOrder":0,"Requirements":"? Must have high school diploma or GED, bachelors degree highly preferred ? 8-10+ years of Medicare claims processing experience with knowledge of CPT4 and ICD10 codes, UB04s and HCFA Forms ? Strong knowledge of Physician and Facility Claims, Audit Codes and Billing, DRGs and ICD-10, Appeals Processes ? ? Proven experience in a leadership, supervisory or quality assurance role. ?? Working knowledge of Medicare medical insurance terminology, procedure, diagnosis codes, fee schedules and HIPPA requirements ? ? Experience interacting with clients and building professional relationships. ? ? Preferred background in government contracts, correctional facilities or healthcare facilities. - ? experience with Excel, Adobe \u0026 outlook ? Must be able to apply principles of critical thinking to a variety of practical and emergent situations and accurately follow standardized procedures that may call for deviations.","Skills":"-Degree -Experience working with or within the prison system, including federal, county, or state correctional facilities, government contracts-Background in non-commercial insurance claims (e.g., government-funded programs, correctional healthcare, etc.). -experience working with an offshore team","Industry":"Claims/Denials","Country":"US","Division":"AF\u0026E","Office":null,"IsRemoteJob":true,"IsInternalJob":false,"ExtraValues":null,"__RecordIndex":0,"__OrdinalPosition":0,"__Timestamp":0,"Status":null,"ApplicantCount":0,"SubmittalCount":0,"ApplicationToHireRatio":0,"JobDuration":null,"SalaryHigh":28.0000,"SalaryLow":22.4000,"PayRateOvertime":0,"PayRateStraight":0,"Filled":0,"RemainingOpenings":0,"TotalOpenings":0,"Visa":null,"ClearanceType":null,"IsClearanceRequired":false,"IsHealthcare":false,"IsRemote":false,"EndClient":null,"JobCreatedDate":"\/Date(-62135578800000)\/","JobModifiedDate":"\/Date(-62135578800000)\/"}

? Specialist performs pre- and post-payment audits of external claims; ensures that the company rigorously manages claims for external services; ensures that claims are paid according to contracted... rates, for approved services, and are otherwise appropriate and correct; reviews and responds to claims submitted on appeal.? Support a remote claims processing team, including coordination with an offshore team based in India. ? Assisting with end-to-end claims process, ensuring accuracy, timeliness, and compliance. ? Assist with Processing & Review on complex claims, including Physician and Facility claims, medical claims, Medicare based cpt codes for federal inmates, FBOP side of the business? Provide expert guidance on CPT codes, UB04s, HICFA forms, DRGs, ICD-10, and appeals. - Address and resolve escalated claims issues and inquiries. - Collaborate with internal teams via Microsoft Teams, phone, and email. - Maintain documentation and reporting for claims activities and quality metrics. Communicate to Claims Leadership any issues that would impede the accurate and timely processing of claims.We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.

Jul 10, 2025

Charlottesville, VA

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Medical Coder

|

Perm

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$60k - $85k (estimate)

{"JobID":424113,"JobType":["Perm"],"EmployerID":null,"Location":{"Latitude":-78.4533636363636,"Longitude":38.0473636363636,"Distance":null},"State":"Virginia","Zip":"22908","ReferenceID":"HCH-eb738b54-83e4-462d-a021-2637c2a6aabc","PostedDate":"\/Date(1752138853000)\/","Description":"Insight global is seeking a Coding Educator for a healthcare system in Virginia. The educator will provide consulting services to physicians, residents, allied health professionals and billing staff to support patient care documentation, coding and billing practices according to federal, state and local regulatory compliance standards. Creates and delivers presentations to clinical faculty and billing staff.Develops training programs and delivers training and education sessions for physicians, allied health professionals, residents, and coding and billing staff to support compliance with third party documentation and billing regulatory standards, including but not limited to classroom training, web-based training and one-on-one provider observation and training sessions.Participates on clinical department Billing Quality Councils as a member of the respective councils and acts as the primary resource providing technical and regulatory expertise to the Councils.Presents findings and recommendations from internal and external audits to clinical departments and recommends solutions for implementing appropriate changes.Conducts internal reviews and provides quality review of external billing quality audits.Works with providers and department billing staff to address and resolve documentation deficiencies.Develops and implements Clinical Documentation Improvement Programs in partnership with the clinical departments.We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to Human Resources Request Form. The EEOC \"Know Your Rights\" Poster is available here. To learn more about how we collect, keep, and process your private information, please review Insight Global\u0027s Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .","Title":"Coding Educator","City":"Charlottesville","ExpirationDate":null,"PriorityOrder":0,"Requirements":"Requirements:-5 years of experience with coding and coding education-CCS-P or CPC Certification-Experience creating coding presentations for physicians-Experience with academic medical center coding-Experience with Epic and MDAudit","Skills":"","Industry":"Medical Coder","Country":"US","Division":"Government","Office":null,"IsRemoteJob":true,"IsInternalJob":false,"ExtraValues":null,"__RecordIndex":0,"__OrdinalPosition":0,"__Timestamp":0,"Status":null,"ApplicantCount":0,"SubmittalCount":0,"ApplicationToHireRatio":0,"JobDuration":null,"SalaryHigh":85000.0000,"SalaryLow":60000.0000,"PayRateOvertime":0,"PayRateStraight":0,"Filled":0,"RemainingOpenings":0,"TotalOpenings":0,"Visa":null,"ClearanceType":null,"IsClearanceRequired":false,"IsHealthcare":false,"IsRemote":false,"EndClient":null,"JobCreatedDate":"\/Date(-62135578800000)\/","JobModifiedDate":"\/Date(-62135578800000)\/"}

Insight global is seeking a Coding Educator for a healthcare system in Virginia. The educator will provide consulting services to physicians, residents, allied health professionals and billing staff... to support patient care documentation, coding and billing practices according to federal, state and local regulatory compliance standards. Creates and delivers presentations to clinical faculty and billing staff.Develops training programs and delivers training and education sessions for physicians, allied health professionals, residents, and coding and billing staff to support compliance with third party documentation and billing regulatory standards, including but not limited to classroom training, web-based training and one-on-one provider observation and training sessions.Participates on clinical department Billing Quality Councils as a member of the respective councils and acts as the primary resource providing technical and regulatory expertise to the Councils.Presents findings and recommendations from internal and external audits to clinical departments and recommends solutions for implementing appropriate changes.Conducts internal reviews and provides quality review of external billing quality audits.Works with providers and department billing staff to address and resolve documentation deficiencies.Develops and implements Clinical Documentation Improvement Programs in partnership with the clinical departments.We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to Human Resources Request Form. The EEOC "Know Your Rights" Poster is available here. To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .

Sep 08, 2025

Saskatoon, SK

|

Accounting / Finance

|

Contract

|

$46 - $57 (hourly estimate)

{"JobID":441790,"JobType":["Contract"],"EmployerID":null,"Location":{"Latitude":0,"Longitude":0,"Distance":null},"State":"Saskatchewan","Zip":"S7K 0","ReferenceID":"CAL-63912682-74bf-4453-957a-33b4e7f3e34b","PostedDate":"\/Date(1757359502000)\/","Description":"Insight Global is looking for a Payroll Analyst to support a large Canadian retailer with an Oracle Cloud implementation. This is an initial 6 month, fully remote contract opportunity. They will be an essential resource that will be responsible for the following:? Collaborate and work closely with payroll and other functional leads and project stakeholders ? Support all phases of payroll testing activities, including, end-to-end payroll processing (historical corrections, pay adjustment, T4 administration), process validation, payroll data analysis, and reporting? Create documentation, end user guide updates and other miscellaneous duties as required and requested? Validate functional specifications and payroll related configuration through testing and design document reviews? Maintain test scripts and document test findings including status of tests? Troubleshooting for issue resolution ? Participate in team meetings representing the interests and needs of Payroll and ensure requirements are met by system functionality? Support the payroll team with system discrepancies such as researching and resolving inbound and outbound data transfer issues (e.g. data upload to government or third-party vendor sites bank/routing transit # problems for individual transactions)We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global\u0027s Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.","Title":"Payroll Analyst","City":"Saskatoon","ExpirationDate":null,"PriorityOrder":0,"Requirements":"? Formal payroll education from the National Payroll Institute (NPI) or equivalent? Prior program implementation experience of Oracle is preferred? Minimum of 5 years of relevant payroll experience processing end to end Canadian payroll? Extensive testing experience using tools such as Jira or ALM Octane? Must have a deep knowledge of Canadian payroll federal and provincial legislation ? Proficiency in analyzing requirements documents to accurately determine the scope of work and identify impacted modules? Subject Matter Expert on all things payroll and ability to communicate effectively to share this knowledge? Extensive knowledge of the payroll function including preparation, balancing, internal control, and payroll taxes? Skilled in engaging with, anticipating and balancing the needs of multiple key stakeholders to ensure deliverables are represented","Skills":"","Industry":"Accounting / Finance","Country":"Canada","Division":"IT","Office":null,"IsRemoteJob":true,"IsInternalJob":false,"ExtraValues":null,"__RecordIndex":0,"__OrdinalPosition":0,"__Timestamp":0,"Status":null,"ApplicantCount":0,"SubmittalCount":0,"ApplicationToHireRatio":0,"JobDuration":null,"SalaryHigh":57.0000,"SalaryLow":45.6000,"PayRateOvertime":0,"PayRateStraight":0,"Filled":0,"RemainingOpenings":0,"TotalOpenings":0,"Visa":null,"ClearanceType":null,"IsClearanceRequired":false,"IsHealthcare":false,"IsRemote":false,"EndClient":null,"JobCreatedDate":"\/Date(-62135578800000)\/","JobModifiedDate":"\/Date(-62135578800000)\/"}

Insight Global is looking for a Payroll Analyst to support a large Canadian retailer with an Oracle Cloud implementation. This is an initial 6 month, fully remote contract opportunity. They will be... an essential resource that will be responsible for the following:? Collaborate and work closely with payroll and other functional leads and project stakeholders ? Support all phases of payroll testing activities, including, end-to-end payroll processing (historical corrections, pay adjustment, T4 administration), process validation, payroll data analysis, and reporting? Create documentation, end user guide updates and other miscellaneous duties as required and requested? Validate functional specifications and payroll related configuration through testing and design document reviews? Maintain test scripts and document test findings including status of tests? Troubleshooting for issue resolution ? Participate in team meetings representing the interests and needs of Payroll and ensure requirements are met by system functionality? Support the payroll team with system discrepancies such as researching and resolving inbound and outbound data transfer issues (e.g. data upload to government or third-party vendor sites bank/routing transit # problems for individual transactions)We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.

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