Lead Auditor of Healthcare Claims - Orange - beBeeAudits

    beBeeAudits
    beBeeAudits Orange

    1 week ago

    Job title: Director of Claims Audits

    Description

    Claims Audit Leadership Role

    About Our Company

    We provide healthcare administrative support services to independent physician associations, third-party administrators and fiscal intermediary clients.

    • No relocation required for this position as it is remote work-friendly with a flexible work environment available.

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    Claims Compliance Coordinator

    Only for registered members

    The Claims Compliance Coordinator supports the Claims Department by assisting with compliance audits, process reviews, · and regulatory monitoring to ensure claims operations meet internal standards and external requirements.Associate or Bachelor's degree in Business, Healthcare ...

    Orange

    6 days ago

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    Medical Claims Coding Auditor

    Only for registered members

    The Medical Claims Coding Auditor supports the Managed Service Organization (MSO) by performing detailed medical claims reviews to ensure accuracy and compliance across Medicare Commercial and Medicaid lines of business. · ...

    Orange OTHER

    1 month ago

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    Medical Billing Coordinator

    Only for registered members

    The Medical Billing Coordinator ensures timely and accurate reimbursement by managing outstanding claims and collaborating with insurance carriers, providers, and billing teams. · Claims Management: · ...

    Orange, California, United States

    6 days ago

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    Denial Resolution Coordinator

    Only for registered members

    All 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. · The Denial Resolution Coordinator is responsible for working with ...

    Orange, California, United States

    6 days ago

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    Medical Claims Coding Auditor

    Only for registered members

    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 ...

    Orange

    6 days ago

  • Work in company Remote job

    Medical Claims Coding Auditor

    Only for registered members

    The Medical Claims Coding Auditor supports the Managed Service Organization (MSO) by performing detailed medical claims reviews to ensure accuracy, · compliance and appropriate reimbursement across Medicare, Commercial and Medicaid lines of business.Experience: Minimum 3 years of ...

    Orange, CA

    1 month ago

  • Work in company

    Director of Claims Audits

    Only for registered members

    About Us All 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 pers ...

    Orange

    6 days ago

  • Work in company

    Claims Auditor

    Only for registered members

    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 ...

    Orange

    6 days ago

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    Director, Claims Administration

    Only for registered members

    Join Us in this Amazing Opportunity.We are a mission driven community-based organization that serves member health with excellence and dignity, · respecting the value and needs of each person. · ...

    Orange $181,257 - $290,011 (USD)

    1 week ago

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    Claims Mailroom Support Clerk

    Only for registered members

    The Claims Clerical-Mailroom Support Clerk is responsible for managing incoming mail from providers while ensuring a high level of accuracy. · Opens, triages, and batches incoming mail & faxes. · Utilizes claim processing system to research provider and member status. · ...

    Orange $41,600 - $57,600 (USD) Full time

    1 month ago

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    Claims Resolution Specialist

    Only for registered members

    Join Us in this Amazing Opportunity. · The Team You'll Join We are a mission-driven community-based organization that serves member health with excellence and dignity,We believe that diverse perspectives drive innovation. ...

    Orange $53,813 - $80,720 (USD)

    1 month ago

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    Claims Mailroom Support Clerk

    Only for registered members

    Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. · ...

    Orange, CA

    1 month ago

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    Claims Resolution Specialist

    Only for registered members

    We are a mission driven community-based organization that serves member health with excellence and dignity, · Responds to provider questions and researches issues regarding claims payments, · denials,resolves claim issues, · contractual · and/or CalOptima Health agreements, · est ...

    Orange, CA

    1 month ago

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    Program Assistant

    Only for registered members

    The Program Assistant will assist in day-to-day activities of the department by providing administrative support to execute responsibilities.Assists team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities. · ...

    Orange $49,754 - $69,655 (USD)

    1 month ago

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    Customer Service Coordinator

    Only for registered members

    The Customer Service Coordinator is responsible for supporting the customer service department. This position will answer all incoming customer service calls and help all callers obtain an answer to their questions and concerns while providing excellent customer service. · Answer ...

    Orange OTHER

    3 weeks ago

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    Assistant Controller

    Only for registered members

    This Jobot Job is hosted by Milan Kacar. · Assist the Controller in managing the accounting department in daily accounting operations including general ledger accounts payable/receivable payroll and cash management · Prepare and review journal entries reconciliations financial sc ...

    Orange

    1 week ago

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    Customer Service Representative

    Only for registered members

    A mission-driven community-based healthcare organization is seeking Customer Service Representatives to join its OneCare Customer Service Department. · Respond to member and provider inquiries (eligibility enrollment claims referrals authorizations etc.) · Serve as a senior resou ...

    Orange $23.92 - $33.48 (USD)

    1 week ago

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    Program Assistant

    Only for registered members

    This opportunity involves working as a Program Assistant (Claims Administration). The team focuses on serving member health with excellence and dignity. Your contributions will include providing administrative support to execute all responsibilities of the position. · This positi ...

    Orange, CA

    1 month ago

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    Customer Service Coordinator

    Only for registered members

    About the role: We are seeking a Customer Service Coordinator to support our customer service department. The ideal candidate will be a strong communicator and team player with excellent customer service skills. · ...

    Orange, California, United States

    1 week ago

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    Document Control Clerk

    Only for registered members

    +This position works independently or as a team to manage the incoming and outgoing mail system. · Receives incoming mail to open, sort, and distribute · Delivers mail and internal correspondence within the organization in a timely manner · ...

    Orange OTHER

    3 weeks ago

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    Call Center Customer Service Representative

    Only for registered members

    WeShare , offers a member-to-member health sharing program that is much more cost effective than standard health insurance while offering access to over 1.2 million physicians across the country.Come join us on this important mission to create the next generation of healthcare · ...

    Orange

    2 weeks ago

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