Claims Auditor
4 weeks ago
A Hospital Claims Auditor is responsible for ensuring the accuracy and compliance of claims processes, adhering to regulatory requirements and contractual obligations. This role involves researching and resolving problem claims, suggesting process improvements, and providing training to staff.
Key Responsibilities
- Audit daily processed claims to ensure accuracy and compliance
- Conduct in-depth research to identify trends and recommend actions to senior management
- Develop and implement process improvements to enhance claims processing
- Provide training and support to staff on claims processing and regulatory requirements
- Collaborate with other departments to ensure seamless claims processing
Requirements
- High school diploma required
- Three years of experience in managed care claims adjudication
- Expertise in coding structure, ICD-10, CPT-4, and Revenue Codes
- Strong organizational, analytical, and communication skills
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Claims Auditor
4 weeks ago
Los Angeles, California, United States MedPOINT Management Full timeJob OverviewMedPOINT Management seeks a skilled Claims Auditor to ensure the quality and accuracy of claims processes. This role involves auditing claims, researching issues, and providing feedback to improve processes.Key Responsibilities:Audit claims to ensure compliance with regulations and contractual obligations.Research and resolve issues related to...
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Medical Claims Auditor
18 hours ago
Los Angeles, California, United States MedPOINT Management Full timeJob OverviewWe are seeking a skilled Medical Claims Auditor to join our team at MedPOINT Management. This role involves reviewing claims paid in Shared and Dual Risk Pools, ensuring accuracy and integrity of Hospital claims paid by MPM.
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Claims Management Director
3 weeks ago
Los Angeles, California, United States L.A. Care Health Plan Full timeJob SummaryThe Claims Management Director will oversee the Claims Department, ensuring compliance with regulatory requirements and maintaining high-quality claims processing. This role requires strong leadership and analytical skills, with the ability to develop and implement policies and procedures to improve claims auto adjudication.The ideal candidate...
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Staff Auditor
4 weeks ago
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Staff Auditor
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Risk Pool Auditor
4 weeks ago
Los Angeles, California, United States MedPOINT Management Full timeJob DescriptionMedPOINT Management seeks a skilled Risk Pool Auditor to review claims paid in Shared and Dual Risk Pools, monitor and maintain audited files, and ensure accuracy and integrity of Hospital claims paid by MPM.Duties and ResponsibilitiesReview, track, and analyze Risk Pool Summaries.Audit Risk Pool Detail and submit disputes to Health Plan or...
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Accounting Auditor
4 weeks ago
Los Angeles, California, United States Insight Global Full timeJob SummaryWe are seeking a highly skilled Accounting Auditor to join our team at Insight Global. As an Accounting Auditor, you will be responsible for performing payroll audits of production companies to ensure compliance with the provisions of the Trust Agreements and Collective Bargaining Agreements of the DGA.Key ResponsibilitiesPerform payroll audits of...
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Accounting Auditor
3 weeks ago
Los Angeles, California, United States Insight Global Full timeJob SummaryWe are seeking an experienced Auditor for Payroll Compliance to join our team at Insight Global. As an Auditor for Payroll Compliance, you will be responsible for performing payroll audits of production companies in a timely and professional manner to verify that appropriate contributions are being made in compliance with the provisions of the...
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Accounting Auditor
4 weeks ago
Los Angeles, California, United States Insight Global Full timeJob SummaryWe are seeking a highly skilled Accounting Auditor to join our team at Insight Global. As an Accounting Auditor, you will be responsible for performing payroll audits of production companies to ensure compliance with trust agreements and collective bargaining agreements.Key ResponsibilitiesPerform payroll audits of production companies to verify...
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Accounting Auditor
3 weeks ago
Los Angeles, California, United States Insight Global Full timeJob SummaryWe are seeking a highly skilled Accounting Auditor to join our team at Insight Global. As an Accounting Auditor, you will be responsible for performing payroll audits of production companies in a timely and professional manner to verify that appropriate contributions are being made in compliance with the provisions of the Trust Agreements and...
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Auditor Specialist
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Los Angeles, California, United States Consultative Search Group Full timeWe are seeking a highly skilled Auditor Specialist to join our team at Consultative Search Group. This is an excellent opportunity for an audit professional with music industry experience to take their career to the next level.Key Responsibilities:Assist in performing royalty compliance procedures for record labels and publishers on behalf of our diverse...
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Auditor
4 weeks ago
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Senior Claims Specialist
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Business Representative
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Los Angeles, California, United States SAG-AFTRA Full timeJob Title: Business Representative - Auditor (Entertainment Contracts)SAG-AFTRA is seeking a highly skilled Business Representative - Auditor (Entertainment Contracts) to join our team. As a Business Representative - Auditor (Entertainment Contracts), you will be responsible for auditing all aspects of theatrical, television, and new media productions to...
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Auditor - Financial Transactions
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Accounting Auditor
4 weeks ago
Los Angeles, California, United States Insight Global Full timeJob SummaryWe are seeking a highly skilled Accounting Auditor to join our team at Insight Global. As a key member of our department, you will be responsible for performing payroll audits of production companies, reviewing audit reports, and drafting billing letters.Key ResponsibilitiesPerform payroll audits of production companies to verify compliance with...
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Risk Management Professional
4 weeks ago
Los Angeles, California, United States UCLA Health Full timeClaims Manager Role OverviewAs a key member of our Claims leadership team at UCLA Health, you will oversee a dedicated team of claims examiners, auditors, and support staff. Your primary responsibility will be to monitor the department for regulatory compliance and ensure that all claims are processed efficiently and effectively.Key Responsibilities:Lead a...
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Accounting Auditor
3 weeks ago
Los Angeles, California, United States Insight Global Full timeJob SummaryWe are seeking a highly skilled Auditing Professional to join our team at Insight Global. As an Auditing Professional, you will be responsible for performing payroll audits of production companies in a timely and professional manner to verify that appropriate contributions are being made in compliance with the provisions of the Trust Agreements...
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Compliance Program Coordinator
4 weeks ago
Los Angeles, California, United States MedPOINT Management Full timeJob OverviewMedPOINT Management is committed to upholding the highest standards of ethics and compliance in its business operations. Our Code of Conduct serves as a guiding principle for our management, employees, and contractors to ensure adherence to applicable laws and company policies. The Compliance Department plays a crucial role in maintaining a...
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Senior Budget Manager
4 weeks ago
Los Angeles, California, United States Careers@Gov Full timeBudget Planning and ManagementDevelop and implement annual budget plans, ensuring timely setup of the Budget Planning System and accurate forecasting of expenses.Collaborate with business units to prepare budget slides and papers for approval by EXCO, Audit and Risk Committee, and HSA Board.Oversee budget management in Workday system to ensure expenses are...