Claims Audit Coordinator

Job DescriptionJob DescriptionPOSITION SUMMARY Strong background on Medi-Cal, Commercial, and Medicare benefits, including coordination of benefits. Works closely with all departments necessary to ensure that processes, programs and services are accomplished in a timely and efficient manner in accordance with AMM policies and procedures and in compliance...

Job DescriptionJob DescriptionPOSITION SUMMARY Strong background on Medi-Cal, Commercial, and Medicare benefits, including coordination of benefits. Works closely with all departments necessary to ensure that processes, programs and services are accomplished in a timely and efficient manner in accordance with AMM policies and procedures and in compliance...

Job DescriptionJob DescriptionPOSITION SUMMARYThe Clinical Audit Coordinator, assisting and informing the Manager of any barriers that may preventing tasks from being completed in a timely and efficient manner. Individual must be able to execute effective communications verbally and in writing, maintain patient confidentiality, and promote departmental and...

Job DescriptionJob DescriptionRole InsightsThis role of the Claims Examiner III is considered an essential position within the organization as well as the Claims Department. The Claims Examiner is responsible for collaborating with the Claims Team to meet productivity goals as well as ensure quality. This candidate should possess claims knowledge,...

Job DescriptionJob DescriptionRole InsightsThis role of the Claims Examiner III is considered an essential position within the organization as well as the Claims Department. The Claims Examiner is responsible for collaborating with the Claims Team to meet productivity goals as well as ensure quality. This candidate should possess claims knowledge,...

Job DescriptionJob DescriptionRole InsightsThis role of the Claims Examiner III is considered an essential position within the organization as well as the Claims Department. The Claims Examiner is responsible for collaborating with the Claims Team to meet productivity goals as well as ensure quality. This candidate should possess claims knowledge,...

Job DescriptionJob DescriptionRole InsightsThis role of the Claims Clerk is considered an entry-level position within the Claims Department. The Claims Clerk is responsible for providing additional support to the entire Claims Team which involves data entry, researching, organizing, etc. This candidate should possess excellent multi-tasking capabilities, the...

Job OverviewPosition SummaryThe Claims Processing Associate is an entry-level role within the Claims Division at Advanced Medical Manage. This position is essential in supporting the Claims Team through various tasks such as data management, investigation, and organization. The ideal candidate will demonstrate strong multitasking abilities, a commitment to...

Job DescriptionJOB DESCRIPTIONJob Summary Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding...

Job OverviewAs a Clinical Review Nurse, you will leverage your clinical expertise to assess documentation for medical necessity and the appropriate level of care. Your role will involve utilizing MCG/InterQual guidelines, state and federal regulations, billing and coding standards, and Molina policies to validate medical records and claims submitted,...

Claims and Insurance Coordinator As Mount Sinai grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across...

Description: Remote - Candidate has to be in CA. Min 5 years of CA claims handling experience is mandatory. SIP is preferred. PRIMARY PURPOSE: To analyze mid- and higher-level workers compensation claims to determine benefits due; to ensure ongoing adjudication of claims within company standards and industry best practices; and to identify subrogation of...

Job SummaryWe are seeking a highly skilled Insurance Claims Associate to join our team at MyCareersFuture. As an Insurance Claims Associate, you will play a critical role in delivering timely updates on claims outcomes to internal and external customers, and coordinating with stakeholders for efficient claims assessment.Key ResponsibilitiesDeliver timely and...

Job DescriptionJob DescriptionSalary: 18.00Job Title: Patient Intake CoordinatorLocation: Daytona Beach, FloridaHours: Monday through Friday, 9 AM - 6 PMStarting Pay: $18.00 per hourAbout Us:Accelerated Claims is a leader in specialized claims management, dedicated to helping healthcare providers recover significant revenue to enhance patient care in their...

Description:PRIMARY PURPOSE: To analyze complex or technically difficult workers compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify...

Claims and Insurance Coordinator As Mount Sinai grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across...

Claims Examiner - Workers Compensation BC Forward is looking for Claims Examiner - Workers Compensation in Remote Position: Claims Examiner - Workers CompensationLocation: California, Remote Duration: 3+ Months of Contract with possible extension Pay-Rate: $33.00/Hr on W2Job Description:Primary Purpose: To analyze complex or technically difficult workers'...

Roles & Responsibilities Requirements:- To update the claim information including date of receipt of claim, project number and claim amount in the database. To check the claims and seek clarifications with grantees on queries arising from their claim submissions to ensure that all queries are satisfactorily resolved. To seek PUB advice on...

Job DescriptionJob DescriptionJob SummaryUS Claims is a leading provider of advances to personal injury victims and their families. US Claims’ mission is to provide much needed liquidity to an underserved market; providing financial means for victims to pursue a fair settlement. We have built an organization driven by excellence and we are looking for...

Claims Service Representative III - Casualty This position supports the Auto Claims Operation by providing service pursuant to the policy by handling claims of property and/or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. The primary functions include investigation,...