Medical Claims Auditor

Job Title : Claims Auditor Do you have the following skills, experience and drive to succeed in this role Find out below. Location : Los Angeles, CA 90017(Remote) Duration : 21 weeks Job Description: The Specialty Health Plans Auditor III, Claims is responsible all aspects of planning, execution, reporting, and corrective action plans monitoring of claims...

Claims Quality AuditorThe Claims Quality Auditor will be responsible for the daily audit of all examiners assigned to the auditor. You will review claims (paid, pending, and denied) for accuracy, appropriate application of benefits, authorization for services, contract interpretation, Division of Financial Responsibility (DOFR), and application/compliance...

Job Title : Claims AuditorLocation : Los Angeles, CA 90017(Remote)Duration : 21 weeksJob Description: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. Essential Duties and...

Job Title : Claims AuditorLocation : Los Angeles, CA 90017(Remote)Duration : 21 weeksJob Description: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. Essential Duties and...

Job Title : Claims AuditorLocation : Los Angeles, CA 90017(Remote)Duration : 21 weeksJob Description: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. Essential Duties and...

DescriptionTake on an important role within a world-class health organization. Provide specialized expertise that enables the efficient operation of a complex health system. Take your career to the next level. You can do all this and more at UCLA Health.The Claims Quality Auditor will be responsible for the daily audit of all examiners assigned to the...

Claims Quality AuditorTake on an important role within a world-class health organization. Provide specialized expertise that enables the efficient operation of a complex health system. Take your career to the next level. You can do all this and more at UCLA Health. The Claims Quality Auditor will be responsible for the daily audit of all examiners assigned...

Job 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...

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. Knowledge of HMO/or IPA operations; medical terminology; ICD-10, RVS, and CPT coding knowledge; knowledge of system applications; Formal training will be indicated by a...

Position SummaryWe are seeking a detail-oriented and analytical Auditor to join our team, with a focus on reviewing managed care claims to ensure billing accuracy, compliance with payer contracts, and identification of fraud, waste, or abuse. This role involves deep dives into claims data, provider billing patterns, and contract terms to identify...