Claims Auditor
5 days ago
Job Title : Claims Auditor / Claims ProcessorLocation: Whittier, CAStart Date: (Immediate Start)Duration: 13 weeksSchedule Shift: Days | 7:00 AM – 3:30 PM | 8-hour days | 40-hour guaranteePay Rate: $30/hour Description:TITLE: Claims Auditor / Claims ProcessorPIH Health Physicians is seeking an experienced Claims Auditor / Claims Processor to support the Claims Department. This role is ideal for professionals with strong medical claims processing experience and knowledge of HMO/IPA operations, Medicare, and Medi-Cal guidelines. EDUCATION/EXPERIENCE/TRAININGRequired:High School Diploma or equivalentMinimum 4 years of medical claims processing experienceKnowledge of:HMO and/or IPA operationsMedical terminologyICD-10, CPT, RVS codingMedicare & Medi-Cal guidelinesStrong 10-key skills (by touch)Excellent organizational, communication, and time-management skillsAbility to meet deadlines in a fast-paced environmentDUTIES AND RESPONSIBILITIESEnsure confidentiality of patient protected health information (HIPAA compliant)Assist the Claims Director with training and education of Claims staffCoordinate, generate, and review claims audits, pending claims, and status reportsInvestigate and process payment adjustments (refunds, overpayments, underpayments)Serve as a professional resource for providers, members, insurance carriers, and staffResearch and respond to claims-related inquiries in a timely mannerCreate and maintain system-generated reportsSupport compliance with legal, regulatory, and contractual audit requirementsPrepare and present weekly and monthly quality and performance reportsReview and audit member liability denials and Provider Dispute Resolution claimsPerform additional duties as assigned
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Claims Auditor
5 days ago
Whittier, United States Pacer Group Full timeJob Title : Claims Auditor / Claims ProcessorLocation: Whittier, CAStart Date: (Immediate Start)Duration: 13 weeksSchedule Shift: Days | 7:00 AM – 3:30 PM | 8-hour days | 40-hour guaranteePay Rate: $30/hourDescription:TITLE: Claims Auditor / Claims ProcessorPIH Health Physicians is seeking an experienced Claims Auditor / Claims Processor to support the...
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Claims Auditor
2 weeks ago
Whittier, United States US Tech Solutions Full timeJob PostingStart/end time: 7:00 am to 3:30 pm Shift: Day Next Start Date: Immediately Contract Length: 3 MonthsPosition SummaryThe 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.Specific Skills NeededKnowledge of HMO/or IPA...
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Claims Auditor
3 days ago
Whittier, CA, United States Pacer Group Full timeJob Title : Claims Auditor / Claims Processor Location: Whittier, CA Start Date: (Immediate Start) Duration: 13 weeks Schedule Shift: Days | 7:00 AM – 3:30 PM | 8-hour days | 40-hour guarantee Pay Rate: $30/hour Description : TITLE: Claims Auditor / Claims Processor PIH Health Physicians is seeking an experienced Claims Auditor / Claims...
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Claims Auditor
1 week ago
Whittier, United States California Staffing Corporation Full timeClaims Auditor Position Start/end time: 7:00 am to 3:30 pm Shift: Day Next Start date: Immediately Contract length: 3 months POSITION SUMMARY 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. SPECIFIC SKILLS NEEDED...
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Claims Auditor
2 days ago
Whittier, United States US Tech Solutions Full timePosition SummaryThe 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.Specific Skills NeededKnowledge of HMO/or IPA operations; medical terminology; ICD-10, RVS, and CPT coding knowledge; knowledge of Medicare and Medi-Cal...
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Claims Auditor
2 weeks ago
Whittier, United States US Tech Solutions Full timePosition SummaryThe 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.Specific Skills NeededKnowledge of HMO/or IPA operations; medical terminology; ICD-10, RVS, and CPT coding knowledge; knowledge of Medicare and Medi-Cal...
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Claims Auditor
1 week ago
Whittier, United States US Tech Solutions Full timePosition SummaryThe 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.Specific Skills NeededKnowledge of HMO/or IPA operations; medical terminology; ICD-10, RVS, and CPT coding knowledge; knowledge of Medicare and Medi-Cal...
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Medical Claims Auditor
7 days ago
Whittier, United States PIH Health Full timeThe Claims Quality Assurance Auditor maintains positive working relationships with our internal and external customers, health plan’s, providers and/or members by seeking a partnership approach that will meet the company goals and vision. The CQA auditor will coordinate Health Plan’s audits activities with preparation and provide preliminary results on...
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Claims Quality Assurance Auditor
1 week ago
Whittier, United States PIH Health Full timeClaims Quality Assurance Auditor LinkedIn Twitter Email Message Share Tracking Code26232-977Job Location6557 Greenleaf Avenue, 6557 Greenleaf Avenue, Whittier, CaliforniaCategoryBusiness Office The Claims Quality Assurance Auditor maintains positive working relationships with our internal and external customers, health plan's, providers and/or members by...
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Medical Claims Auditor
1 day ago
Whittier, CA, United States PIH Health Full timeJob Description The Claims Quality Assurance Auditor maintains positive working relationships with our internal and external customers, health plan's, providers and/or members by seeking a partnership approach that will meet the company goals and vision. The CQA auditor will coordinate Health Plan's audits activities with preparation and provide preliminary...