Claims Quality Auditor

2 weeks ago


Los Angeles, United States University of California - Los Angeles Health Full time

Description Take 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 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 with policies and procedures. You will: Research over and under-



  • Los Angeles, United States UCLA Health Full time

    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...


  • Los Angeles, United States University of California - Los Angeles Health Full time

    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...


  • Los Angeles, United States Los Angeles Staffing Full time

    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...

  • Claims Auditor

    2 days ago


    Los Angeles, United States ProKatchers LLC Full time

    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...

  • Claims Auditor

    2 days ago


    Los Angeles, United States ProKatchers LLC Full time

    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...

  • Claims Auditor

    3 days ago


    Los Angeles, CA, United States ProKatchers LLC Full time

    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...


  • Los Angeles, CA, United States ProKatchers LLC Full time

    Job Title : Claims Auditor 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 processing compliance for specialty health plans and vendors. Essential Duties and...


  • Los Angeles, CA, United States Century Group Full time

    Century Group is partnering with a client who is seeking a Claims Appeal Auditor. Exact compensation may vary based on skills, experience, and location. Expected starting base salary $22.50 to $24.50 per hour. Essential Duties and Responsibilities include the following: Provide reports and on-going updates to Claims management Assist in the processing of...


  • Los Angeles, CA, United States Century Group Full time

    Century Group is partnering with a client who is seeking a Claims Appeal Auditor. Exact compensation may vary based on skills, experience, and location. Expected starting base salary $22.50 to $24.50 per hour. Essential Duties and Responsibilities include the following: Provide reports and on-going updates to Claims management Assist in the processing of...


  • Los Angeles, United States LOS ANGELES CARE HEALTH PLAN Full time

    Financial Compliance Auditor III ClaimsEstablished in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care...