Claims Audit Manager

Job Title: Claims Audit ManagerAdvanced Medical Manage is seeking a highly skilled Claims Audit Manager to join our team. As a Claims Audit Manager, you will be responsible for ensuring the accuracy and compliance of claims processing in accordance with AMM policies and procedures.Key Responsibilities:Prepares and coordinates the completion of complex...

Job Title: Claims Audit ManagerAdvanced Medical Manage (AMM) is seeking a highly skilled Claims Audit Manager to join our team. As a Claims Audit Manager, you will play a critical role in ensuring the accuracy and compliance of claims processing within our organization.Key Responsibilities:Prepares and coordinates the completion of complex regulatory and...

Job Title: Claims Audit ManagerJob Summary:We are seeking a highly skilled Claims Audit Manager to join our team at Advanced Medical Manage. The successful candidate will be responsible for ensuring the accuracy and compliance of claims processing, as well as providing expert guidance on Medicare and Medi-Cal claim payment rules and requirements.Key...

Job SummaryAdvanced Medical Manage is seeking a highly skilled Claims Audit Manager to join our team. The ideal candidate will have a strong background in healthcare claims processing, with a focus on Medi-Cal and Medicare claims.The Claims Audit Manager will be responsible for ensuring that incoming claims are processed in accordance with policies,...

Job Title: Claims Audit ManagerJob Summary:Advanced Medical Manage is seeking a highly skilled Claims Audit Manager to join our team. As a Claims Audit Manager, you will be responsible for ensuring that incoming claims are processed in accordance with policies, procedures, and guidelines, as outlined by Advanced Medical Manage and contractual agreements.Key...

Job Title: Claims Audit ManagerJob Summary:Advanced Medical Manage is seeking a highly skilled Claims Audit Manager to join our team. As a Claims Audit Manager, you will be responsible for ensuring that incoming claims are processed in accordance with policies, procedures, and guidelines, as outlined by Advanced Medical Manage and contractual agreements.Key...

Job SummaryAs a Claims Administrator at Molina Healthcare, you will be responsible for administering claims payments, maintaining accurate claim records, and providing counsel to claimants regarding coverage amounts and benefit interpretations. You will also monitor and control the backlog and workflow of claims, ensuring timely settlement in accordance with...

Job Summary:This position is open to Hybrid for the right candidate in the greater Long Beach/Los Angeles area. As a Medical Claims Examiner, you will be responsible for auditing claims processing quality, developing and maintaining standard reports, and assisting the Claims Supervisor/Director in reviewing quality auditing tracking and reporting. You will...

Job SummaryWe are seeking a highly skilled Medical Claims Examiner to join our team at Ultimate Staffing. As a Medical Claims Examiner, you will be responsible for reviewing and processing medical claims, ensuring accuracy and compliance with industry guidelines.Key ResponsibilitiesReview and process medical claims, including professional and facility...

Job SummaryAdvanced Medical Manage seeks a skilled Claims Auditor to ensure compliance with regulatory requirements and optimize claims processing.Key Responsibilities:Prepare and coordinate complex regulatory reports for submission.Assist in audit preparations, analyze data, identify deficiencies, and track corrective action.Query, analyze, and interpret...

About SCANSCAN Group is a not-for-profit organization dedicated to addressing the most pressing issues affecting older adults in the United States. As a leading expert in senior healthcare, SCAN has been a mission-driven organization for over 45 years, committed to keeping seniors healthy and independent. Our team of talented professionals is passionate...

Job OverviewAs a Clinical Audit Coordinator at Advanced Medical Manage, you will play a crucial role in ensuring the timely and efficient completion of tasks. This position requires effective communication, patient confidentiality, and a commitment to promoting departmental and organizational goals.Key ResponsibilitiesMonitor the deferral process for...

Job Title: Workers Compensation Claims ExaminerMary Kraft HR is seeking an experienced Workers Compensation Claims Examiner to join our team. As a key member of our claims team, you will be responsible for analyzing and managing complex workers' compensation claims, including indemnity claims, to determine benefits due.Key Responsibilities:Analyze and...

Exceptional Career Opportunities for Audit Managers and SeniorsWe are seeking highly skilled Audit Managers and Seniors to join our team at a well-established, highly profitable CPA firm. This is a hybrid role, allowing you to work from both our office and your home with flexible hours.As an Audit Manager or Senior, you will have the opportunity to work with...

Job SummaryWe are seeking a seasoned professional to lead our assurance department, ensuring the highest level of financial compliance and stability. As a Permanent Assurance Manager, you will be responsible for managing multiple engagements, leading diverse teams, and building strong client relationships.Key ResponsibilitiesManage and oversee the daily...

Job SummaryThe Claims Program Manager (aka Claims Payment Integrity Program Manager) is a critical role responsible for identifying and transforming processes/procedures in the Claims department specific to payment integrity. This position requires interface with claims teams, payment integrity vendor(s), SIU, finance, and other applicable SCAN...

Job SummaryAs a Property Claims Adjuster with the American Automobile Association, you will play a vital role in providing an outstanding experience for our members by using your investigative, negotiation, and communication skills to help them through the claim process and recover from the unexpected.Key Responsibilities Investigate, evaluate, and determine...

Job Title: Claims Program Manager - Payment Integrity SpecialistAbout the Role:The Claims Program Manager - Payment Integrity Specialist will be responsible for identifying and transforming processes/procedures in the Claims department specific to payment integrity. This role requires interface with claims teams, payment integrity vendor(s), SIU, finance,...

Job Title: Claims Examiner - Workers CompensationMary Kraft HR is seeking a skilled Claims Examiner to join our team. As a Claims Examiner, you will be responsible for analyzing complex workers' compensation claims to determine benefits due.Job Summary:The ideal candidate will have a strong understanding of California Workers' Compensation laws and claim...

Job Title: Claims Examiner - Workers CompensationMary Kraft HR is seeking an experienced Claims Examiner to analyze and process complex workers' compensation claims. The ideal candidate will have a strong understanding of California Workers' Compensation laws and claim procedures.Key Responsibilities:Analyze and process complex workers' compensation claims...