- AltaMed Health Services Corporation (Montebello, CA)
- …just a job; it's a calling that drives us forward every day. Job Overview The Claims Auditor will be responsible for the accurate review and auditing of ... community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing...as a resource of information to all staff. The Claims Auditor will identify root cause issues,… more
- Medix (Sherman Oaks, CA)
- …at one of our clients. Job Summary Our client is seeking a Claims Auditor responsible for ensuring the quality of claims processes and compliance with ... process improvements, and providing information to all staff. Additionally, the Claims Auditor will conduct special projects and support management by auditing… more
- Children's Wisconsin (Milwaukee, WI)
- …https://www.instagram.com/lifeatcw/ Children's Wisconsin has an opportunity for a Senior Revenue Compliance Auditor on our team. Location : Remote What you will do: ... for researching, analyzing, monitoring and auditing charging and billing processes, quality of documentation to support billing, and coding and billing practices… more
- UPMC Senior Communities (Wexford, PA)
- …and DRG assignment appropriateness to ensure consistency and efficiency in claims processing, data collection, and quality reporting. Conduct audits ... their best selves? UPMC Children's Community Pediatrics is hiring a Full-Time Compliance Auditor , Intermediate to support the office Remotely. Must live in the state… more
- UCLA Health (Los Angeles, CA)
- …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,...maintain statistical data consistent + Maintain departmental production and quality standards Salary Range: $30.56 - $60.82 HourlyQualifications We're… more
- CHS (Clearwater, FL)
- **Overview** ** ** ** Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical ... equivalent is required + Experience in medical customer service, quality assurance, or insurance training is preferred. **Certificates, Licenses,...and lifting up to thirty (30) pounds. ** ** ** Claims and Call Auditor (Call Center QC)… more
- NTT DATA North America (Decatur, IL)
- …when executed as part of an overall sourcing strategy. NTT DATA currently seeks a Claims Auditor to join our team for a remote position. 100% Remote, Client ... the right people on board, anything is possible. The quality , integrity, and commitment of our employees have been...of Direct Hire Pay Rate $21-$22/hr **Position Summary:** The Claims Auditor position reports to the Chief… more
- Prime Therapeutics (Denver, CO)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Pharmacy Claims Auditor - Remote **Job Description** The Pharmacy Claims ... is responsible for the selection and auditing of claims , educating Prime's network pharmacies and driving contract compliance,...year of work experience in an operations, audit or quality assurance environment + Must be eligible to work… more
- WTW (Chicago, IL)
- **Description** As a Lead Auditor you will apply your audit, project management and client management skills to lead client audits. You will serve as the team leader ... will review discrepancy issues identified by field auditors, re-adjudicate claims , resolve open issues, and draft the final report....activities in an accurate and timely fashion + Write quality value-added draft report in a timely manner +… more
- Centers Plan for Healthy Living (Staten Island, NY)
- …Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure ... claims are processed in accordance with Federal, State and...keep up to date with departmental changes in conducting quality reviews. + Ensure the consistent use of current… more
- NTT DATA North America (Decatur, IL)
- …we know that with the right people on board, anything is possible. The quality , integrity, and commitment of our employees have been key factors in our company's ... Summary:** The Utilization Management Coordinator reports to the Director of Claims . This position is responsible for coordinating the appeal activities and… more
- Humana (Montgomery, AL)
- …looking is an experienced and well-grounded medical coding auditor to quality review the inpatient hospital claims for proper reimbursement, handle provider ... community and help us put health first** In this role, you will conduct quality reviews of coding processes within the Claims Cost Management organization,… more
- Planned Parenthood of Central and Western NY (Rochester, NY)
- Billing Auditor for Shared Services Fully Remote * Rochester, Buffalo, or Syracuse, NY * Revenue Cycle Description Billing Auditor for Shared ServicesBuffalo, ... of PPCWNY's mission and the collaboration with Shared Services, the Billing Auditor evaluates Revenue Cycle outcomes to identify and recommend opportunities for… more
- Boar's Head Brand/Frank Brunckhorst Co., LLC (Sarasota, FL)
- … Certification preferred (ie American Society for Quality - Certified HACCP Auditor , Certified Quality Auditor , Certified Supplier Quality ... BH Audit Team with performing Food Safety & Product Quality audits at different venues to include but not...COAs, Allergen forms, Weight & Tare, any other product claims , etc.), as applicable. + Perform Food Safety &… more
- ManpowerGroup (Vienna, VA)
- Our client, is seeking a Bank and Corporate Owned Life Insurance (BOLI/COLI) Auditor to join their team. As a Bank and Corporate Owned Life Insurance (BOLI/COLI) ... Auditor , you will be part of the Audit Services...policies. + Conduct thorough audits of life and death claims to verify accuracy, completeness, and compliance with company… more
- Boar's Head Brand/Frank Brunckhorst Co., LLC (Brooklyn, NY)
- …required (ie American Society for Quality - Certified Food Safety & Quality Auditor , Certified Supplier Quality Professional and/or able to obtain ... the Boar's Head Audit Team in conducting comprehensive Food Safety and Product Quality audits across a variety of venues, including Food Service Operations, Retail… more
- ManpowerGroup (New York, NY)
- Jefferson Wells is seeking an experienced **Insurance Auditor with Life Claims ** expertise to join our team. The successful candidate will be responsible for ... compliance with company policies, industry standards, and regulatory requirements. The auditor will analyze the claims documentation and processes, identify… more
- LA Care Health Plan (Los Angeles, CA)
- Specialty Health Plans Auditor III Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and...achieve that purpose. Job Summary The Specialty Health Plans Auditor III is responsible all aspects of planning, execution,… more
- CACI International (Latham, NY)
- Litigation and Investigations Auditor Job Category: Finance and Accounting Time Type: Full time Minimum Clearance Required to Start: Public Trust Employee Type: ... litigation and investigative matters. We are seeking a **Litigation and Investigations Auditor ** to support trial and investigative teams with complex audits and… more
- Elevance Health (Grand Prairie, TX)
- … AUDITOR ** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines ... **DRG CODING AUDITOR ** **_Virtual_** **_: _** _ _ __ _This...AA/AS or minimum of 5 years of experience in claims auditing, quality assurance, or recovery auditing.… more
