Hospital Claims Auditor

Job OverviewPosition Summary:A Healthcare Claims Quality Auditor plays a crucial role in ensuring the integrity of claims processing and adherence to regulatory standards, in alignment with the contractual commitments of Health Plans and Hospital Clients. This position involves investigating, reviewing, and liaising with provider services regarding claims...

Job SummaryMedPOINT Management is seeking a skilled Healthcare Claims Auditor to join our team. As a key member of our Claims Department, you will be responsible for ensuring the accuracy and compliance of claims processes.Key ResponsibilitiesAudit daily processed claims through random selection, utilizing system-generated reports to identify trends and...

Job SummaryWe are seeking a skilled Hospital Claims Adjuster to join our team at MedPOINT Management. As a key member of our claims team, you will be responsible for the adjusting of hospital risk claims, ensuring compliance with outside regulations and contractual obligations.Key ResponsibilitiesAccurately review incoming adjustment requests to verify...

Job OverviewThe Hospital Risk Claims Specialist plays a crucial role in managing hospital-related risk claims, ensuring compliance with external regulations and the contractual commitments of Health Plans and/or Hospitals/IPAs. This position involves thorough research, review, and communication with provider services to resolve claims-related issues...

Staff AuditorA prestigious business management firm seeks a Staff Auditor to support their dynamic team in the music industry. This opportunity is ideal for an audit professional with experience in royalty compliance.Key Responsibilities:Assist in performing royalty compliance procedures for record labels and publishers on behalf of diverse clients.Support...

Job DescriptionChubb is seeking a highly skilled Director of Claims Resolution to join our team. As a key member of our claims organization, you will be responsible for resolving complex claims in a fair and timely manner.Key Responsibilities:Analyze contracts, policies, and applicable law to determine the appropriate coverage position and resolve claims on...

Job SummaryMedPOINT Management is seeking a highly skilled Claims Examiner to join our team. As a Claims Examiner, you will be responsible for accurately reviewing and processing medical claims in accordance with regulatory guidelines and company policies.Key ResponsibilitiesReview and verify incoming provider claims to ensure all necessary information is...

Job Title: Night AuditorWe are seeking a highly motivated and detail-oriented Night Auditor to join our team at Island Hospitality. As a key member of our front desk operations, you will be responsible for managing all aspects of guest services and ensuring a seamless experience for our guests.Key Responsibilities:Check-in and check-out hotel guests in a...

Position Overview:We invite you to explore an exciting opportunity with MedPOINT Management as a Claims Examiner. This role is essential for ensuring the accurate processing and evaluation of provider specialty claims.Role Summary:The Claims Examiner will be responsible for the meticulous review, input, and adjudication of provider specialty claims,...

Job Overview:We invite you to explore an exciting opportunity with MedPOINT Management as a Claims Examiner. Please review the details below to understand the responsibilities and qualifications required for this role.Position Summary:The Claims Examiner will be responsible for the meticulous evaluation, input, and adjudication of provider specialty claims,...

Job OverviewSummary:Effectively manage, evaluate, and process provider specialty claims, including UB04 forms, in accordance with external regulations, internal protocols, and contractual obligations. A solid grasp of medical terminology is essential. Extensive knowledge of Commercial, Medicare, and Medi-Cal coding is required. Basic computer proficiency is...

POSITION SUMMARYThe Claims Assessment Specialist plays a crucial role in ensuring the precise and prompt evaluation of both paper and electronic claims submitted in CMS 1500 and UB-04 formats. This role involves processing all claims and relevant correspondence in alignment with Medicare and Medi-Cal regulatory standards, contractual obligations, and...

### Job Summary The University of California Los Angeles (UCLA) is seeking a skilled Night Auditor to join its team at the Luskin Conference Center. As a key member of the financial operations team, you will be responsible for running the night audit and generating reports to ensure the accuracy and integrity of financial data. ### Key Responsibilities *...

Claims Assessment Specialist - Managed Care Providers Avispa Technology is currently seeking a Claims Assessment Specialist to join a leading hospital and healthcare organization. This role involves conducting thorough reviews of claims and billing processes, managing denial resolutions, and processing various payer types including Medicare and...

Job Summary:The Night Auditor is a critical role in ensuring a seamless guest experience during their stay at AccorHotel. As a Night Auditor, you will be responsible for overseeing the nightly operations of our hotel, providing exceptional service, and maintaining accurate records.Key Responsibilities:Conduct the nightly audit process to reconcile all daily...

About the Role:We are seeking a highly skilled Staff Auditor to join our dynamic team at Consultative Search Group. As a Staff Auditor, you will play a critical role in assisting our audit lead in performing royalty compliance procedures for record labels and publishers on behalf of our diverse client base.Responsibilities:Assist with the audit process for...

About the Role:We are seeking a highly skilled Staff Auditor to join our dynamic team at Consultative Search Group. As a Staff Auditor, you will play a critical role in assisting our audit lead in performing royalty compliance procedures for record labels and publishers on behalf of our diverse client base, which includes numerous artists and songwriters.Key...

Job DescriptionThe Hoxton, Downtown LA is a vibrant hotel located in a thriving neighborhood with a rich history. Our hotel offers 174 stylish rooms, a ground floor restaurant, and a rooftop pool with stunning views of the city.Job SummaryWe are seeking a highly organized and detail-oriented Night Auditor to join our team. As a Night Auditor, you will play a...

Job Summary:As a Night Auditor at Hyatt Hotels, you will be responsible for the preparation and disposition of all Night Audit work, ensuring the accuracy and integrity of financial records. You will also be responsible for all Hotel Host functions during the overnight shift, providing exceptional guest service and contributing to the hotel's commitment to...

Job SummaryWe are seeking a highly skilled and experienced Hospital Billing Operations Supervisor to join our team at Axelon. As a key member of our healthcare services team, you will be responsible for supervising the day-to-day operations of the hospital billing office staff, ensuring timely and accurate billing, and providing training and guidance to...