Health Claims Auditor

Job SummaryWe are seeking a highly motivated and experienced Claims Manager to join our team at Angle Health. As a Claims Manager, you will be responsible for overseeing the Claims department to ensure accurate, efficient, and timely handling of all health insurance claims.Key ResponsibilitiesClaims Management: Supervise and mentor a team of claim...

Position Title: Senior Claims Examiner Department: Operations - Claims Overview of the Role: We are in search of a dedicated Senior Claims Examiner to enhance our operations in the healthcare sector. This position will report directly to the Claims Manager and is crucial for our growth in the industry. Key Responsibilities:Stay updated on all ICD-9, CPT, and...

Join Our Team as a Claims Processing SpecialistMake a positive impact in the community with San Francisco Health Plan. We are currently looking for a dedicated Claims Processing Specialist to join our team.Role Overview:The Claims Processing Specialist plays a crucial role in the management of claims processing, adjudication, and investigative tasks. This...

Job OverviewAs a vital member of the San Francisco Health Plan, you will have the opportunity to enhance the health services in the community by taking on the role of a full-time Claims Examiner.Your primary duties will encompass the processing, adjudication, and investigation of claims while ensuring adherence to the latest claim processing protocols. This...

Job OverviewBecome an integral part of the San Francisco community by taking on the role of a full-time Claims Examiner at San Francisco Health Plan.This position involves essential tasks such as claims evaluation, adjudication, and thorough investigation while keeping abreast of the latest claim processing protocols. You will be expected to uphold...

Job OverviewBecome a vital part of the San Francisco community by stepping into the role of a full-time Claims Examiner at San Francisco Health Plan.This position entails managing claims processing, evaluation, and investigation while ensuring adherence to the latest claim processing protocols. You will be responsible for upholding exceptional standards of...

Job SummaryHHSA Contract AuditorThis is a challenging and rewarding role that requires a high level of expertise in auditing and contract management. As an HHSA Contract Auditor, you will be responsible for reviewing and analyzing financial records, management controls, policies, procedures, and reports to ensure compliance with applicable laws and...

Job SummaryThe Department of Justice is seeking a highly skilled Investigative Auditor III to join our team. As an Investigative Auditor III, you will be responsible for conducting complex investigations and audits to detect and prevent fraud and abuse in the Medi-Cal program.Key ResponsibilitiesConduct thorough investigations and audits to identify and...

Job SummaryWe are seeking a highly skilled Senior IT Auditor to join our team at the Federal Home Loan Bank of San Francisco. As a key member of our Internal Audit department, you will be responsible for conducting audits and risk assessments of our IT systems and processes to ensure compliance with regulatory requirements and industry standards.Key...

Job OverviewPosition Title: Claims Processor 1 Department: Claims ManagementBargaining Unit: OPEIU 29 Grade: 16Employment Type: Non-Exempt Weekly Hours: 40Position SummaryThe Claims Processor plays a crucial role in delivering exceptional customer service while managing the processing of standard health and welfare claims for designated accounts. This role...

Job OverviewPosition Title: Claims Processor 1 Department: Claims ManagementBargaining Unit: OPEIU 29 Grade: 16Employment Type: Non-Exempt Weekly Hours: 40Position SummaryThe Claims Processor plays a vital role in delivering customer support and managing the processing of standard health and welfare claims for designated accounts, ensuring compliance with...

Company OverviewAmerican Specialty Health Incorporated is on the lookout for a dedicated Claims Examiner to operate within a dynamic production environment. This role is pivotal in ensuring the precise examination, entry, and adjudication of claims, adhering to regulations, ASH standards, and the contractual commitments of the organization. The Claims...

Environmental, Health and Safety AuditorJoin Our Team at Sempra Services CorporationAt Sempra Services Corporation, we empower our team members to tackle the biggest energy challenges and drive innovation. Our collaborative environment inspires our best work, ideas, and solutions.We are committed to building a better energy future for all, and we're looking...

Organizational OverviewThe Community Health Center Network (CHCN) is a collaborative organization associated with the Alameda Health Consortium, encompassing eight federally qualified community health centers in Alameda County. CHCN operates as the managed care MSO for our health centers, engaging with various health plans to ensure optimal care delivery...

Job OverviewThe Community Health Center Network (CHCN), a key partner of the Alameda Health Consortium, encompasses a network of eight federally qualified community health centers located in Alameda County. CHCN operates as the managed care MSO for these health centers, engaging with the Alameda Alliance for Health. To facilitate the health centers in...

Job Overview Are you passionate about safeguarding healthcare resources and utilizing your analytical expertise? The Division of Medi-Cal Fraud and Elder Abuse Investigation is seeking skilled investigative auditors who possess a strong background in investigation and data analysis to help recover misappropriated funds and protect vulnerable populations. Key...

Job SummaryAs an Auditor II - Environmental, Health and Safety Specialist at Electricenergyonline, you will play a critical role in supporting all phases of environmental, health and safety (EH&S) audits and other projects. Your primary responsibility will be to provide high-quality value-added audit and consulting services to internal customers across all...

Job Title: Workers Compensation Claims AdjusterJob Summary:Amtec Enterprise is seeking a highly skilled Workers Compensation Claims Adjuster to join our team. As a Workers Compensation Claims Adjuster, you will be responsible for processing a wide variety of worker's compensation claims, including complex or sensitive cases.Key Responsibilities:Claims...

Job OverviewPosition Summary: The Financial Compliance Auditor will play a crucial role in executing thorough evaluations of financial processes, ensuring adherence to regulatory standards, and offering insightful recommendations to improve the efficiency and effectiveness of financial operations. The ideal candidate should demonstrate exceptional analytical...

Medical Biller at La Maestra Community Health Centers**Job Summary:**We are seeking a highly skilled and detail-oriented Medical Biller to join our team at La Maestra Community Health Centers. As a Medical Biller, you will play a crucial role in handling various insurance and self-pay accounts, ensuring accurate and efficient processing of patient...