Claims Auditor - Whittier

Claims Auditor/Claims Processor role ideal for professionals with strong medical claims processing experience and knowledge of HMO/IPA operations, Medicare, and Medi-Cal guidelines. · ...

We are seeking an experienced Claims Auditor / Claims Processor to support our Claims Department. This role requires strong medical claims processing experience and knowledge of HMO/IPA operations, Medicare, and Medi-Cal guidelines. · Evaluate patient protected health information ...

The Claims Auditor assists in the Claims Department by analyzing procedures, policies and reports; ensures appropriate payment of claims and maintenance of the claims system as necessary. · ...

The Claims Auditor assists in the Claims Department by analyzing procedures,policies and reports; ensures appropriate payment of claims and maintenance of the claims system as necessary. · Safeguards and preserves the confidentiality of patient's protected health information in a ...

The Claims Auditor assists in the Claims Department by analyzing procedures, policies and reports; ensures appropriate payment of claims and maintenance of the claims system as necessary. Assists the Claims Director in training staff. Coordinates generation and review of audit re ...

The Claims Auditor assists in the Claims Department by analyzing procedures, policies and reports; ensures appropriate payment of claims and maintenance of the claims system as necessary. · Safeguards and preserves the confidentiality of patient's protected health information in ...

The Claims Auditor will be responsible for the accurate review and auditing of claims that are adjudicated by the system and the Claims Examiners. · At AltaMed, your passion for helping others isn't just welcomed – it's nurtured, celebrated, and promoted, allowing you to grow whi ...

The Specialty Health Plans Auditor III, Claims is responsible all aspects of planning, execution, reporting. · Performs annual claims audits for Specialty Health Plans and vendors. · ...

The Specialty Health Plans Auditor III, · Claims is responsible all aspects of planning, · execution, reporting, and corrective action · plans monitoring of claims processing compliance · for specialty health plans and vendors.Performs annual claims audits for Specialty Health Pl ...

We are currently seeking a highly motivated Senior Claims Auditor.This role will report to the Director - Claims and enable us to continue to scale in the healthcare industry. · ...

About UsAll Care To You is a Management Service Organization providing our clients with healthcare administrative support.We provide services to Independent Physician Associations TPAs and Fiscal Intermediary clients.ACTY is a modern growing company which encourages diverse persp ...

We are currently seeking a highly motivated Senior Claims Auditor. This role will report to the Director - Claims and enable us to continue to scale in the healthcare industry.Audit & OversiteAnalyze and audit Health plan claims selections for all health plan/DMHC/CMS auditsRevie ...

A leading healthcare organization in West Hills is seeking a Claims Examiner with strong claims compliance auditing experience. · Audit claims (especially denials) and support resubmission workflows · Contribute to benefit analysis and system design inputs impacting claims operat ...

A leading healthcare organization in West Hills is seeking a Claims Examiner with a strong claims compliance auditing experience (preferred). You'll analyze denials, support benefit analysis and system design considerations, manage special projects, and help improve auto‑adjudica ...

The Claims Quality Auditor II works closely with the Claims Quality Auditing Manager to ensure claims are being processed per regulatory guidelines. · This position conducts audits of high dollar claims, Provider Disputes and Adjustments.Maintains up-to-date knowledge of current ...

The Claims Quality Auditor II works closely with the Claims Quality Auditing Manager. This position serves as a liaison between partnering departments i.e. Payment Integrity and Claims Compliance.This position works to ensure claims are being processed per regulatory guidelines a ...

A Medical Claim Field Auditor applies medical claims audit experience to perform self-insured client audits. · ...

++A Medical Claim Lead Auditor will lead client audits, review discrepancy issues and draft final reports. The role involves team leadership, client management and audit project management. · ++Conduct pre-implementation and coverage specific audits · Review documentation of pot ...

The Claims Quality Auditor II works closely with the Claims Quality Auditing Manager and maintains up-to-date knowledge of current trends and issues in healthcare. · ...

The Medical Claims Coding Auditor supports the Managed Service Organization (MSO) by performing detailed medical claims reviews to ensure accuracy. · The coder serves as a key liaison between care management and claims operations to promote coding accuracy and support efficient p ...