Impactful Claims Quality Auditor for Health System
$31.51 - $62.64 per hourUCLA Outpatient Clinics
UCLA Outpatient Clinics is seeking a Claims Quality Auditor to ensure the accuracy of all claims processed by the audit team. The role involves reviewing various claims, ensuring compliance with policies and procedures, and maintaining departmental standards. The ideal candidate will research payment inquiries and compile essential statistical data. The position offers a salary range between $31.51 and $62.64 per hour, fostering advancement in a world-class health organization. #J-18808-Ljbffr UCLA Outpatient Clinics
$31.51 - $62.64 per hour
United Cerebral Palsy of Georgia is seeking a Claims Quality Auditor to provide specialized expertise in efficiently operating a complex health system. Your responsibilities will include auditing claims for accuracy and compliance while maintaining departmental standards...ClaimsHourly pay- Direct Jobs seeks a Claims Quality Auditor to join UCLA Health, a world-class health organization. In this role, you will audit all claims to ensure accuracy... ...to maintaining high standards and enhancing operational efficiency in the health system. #J-18808-Ljbffr Direct JobsClaims
$31.51 - $62.64 per hour
...an important role within a world-class health organization. Provide specialized... ...efficient operation of a complex health system. Take your career to the next level. You... ...all this and more at UCLA Health. The Claims Quality Auditor will be responsible for the daily...ClaimsHourly payContract work- ...Description Our Work Matters At Kindeva we make products that save lives, ensuring better health and well‑being for patients around the world. The Impact You Will Make The Senior Quality Systems Specialist serves as a site‑level authority for quality systems analytics and...SuggestedLocal areaFlexible hours
- ...About Pivotal Health Pivotal Health is the leading... ...delivering high-quality care. While processes like... ...efficiently dispute underpaid claims, reduce administrative... ...Pivotal's brand new Systems Integration team, a... ...with direct financial impact. Drive technical decision...ClaimsRemote workFlexible hours
- ...About Pivotal Health Pivotal Health is the leading... ...delivering high-quality care. While processes like... ...efficiently dispute underpaid claims, reduce administrative... ...Pivotal's brand new Systems Integration team, a... ...and making a real-world impact, we'd love to hear from...ClaimsRemote workFlexible hours
- ...Medical Billing Specialist in Los Angeles. This role focuses on accurate billing and claims processing in the healthcare sector, requiring attention to detail and proficiency with billing systems. The ideal candidate possesses a high school diploma or GED, a medical billing...Claims
- A leading health plan provider in Los Angeles seeks a Director of Configuration to oversee the strategy and execution of configuration processes. This role requires expertise in system management, staff leadership, and collaboration across departments to enhance operational...Claims
$130k - $165k
Overview About Pivotal Health Pivotal Health is the leading... ...delivering high-quality care. While processes like... ...dispute underpaid claims, reduce administrative... ...product: the integrated systems that power financial reporting... ...turning messy, high-impact systems into something...ClaimsImmediate startRemote workFlexible hours$31.51 - $62.64 per hour
University of California - Los Angeles Health is seeking a Claims Quality Auditor to take on a vital role in a leading health organization. The auditor will perform daily audits on claims, ensuring accuracy, compliance, and adherence to policies. Candidates must have a...ClaimsHourly pay$77.99k - $97.49k
...Title: Shared Services Quality Analyst Location: Montebello... ...test cases to validate system configuration. This... ...in configuring claims adjudication systems with... ...environment (IPA, MSO, or Health plan) is required Experience... ...to create a positive impact. PI284693895 #J-18808...ClaimsLocal areaRemote workFlexible hours$124k - $280k
...AI Industry/Sector: Health Services Time Type:... ...algorithms, models, and systems to enable intelligent... ...and network to deliver quality results. You motivate and... ...and convey clear, impactful and engaging messages that... ...processing clinical notes, claims data, ADT feeds, and...ClaimsFull timeH1b- Stroke Quality & Safety Improvement Consultant V, Clinical... ...data reporting systems to develop and maintain... ...clinical records audit, claim denials, member satisfaction... ...cost effectiveness and impact on department... ...reporting accuracy, and health outcomes and provides insight...ClaimsTemporary workLocal area
- ...Responsibilities ~ Financial Oversight: Managing billing, insurance claims, collections, payroll, budgeting, and financial reporting.... ...adherence to regulations (OSHA, HIPAA), and implementing new systems. ~ Marketing & Growth: Supporting marketing efforts and...Claims
$90.16k - $141.12k
...and client funds paid on fraudulent claims. How you will make an impact: Claim reviews for appropriate... ...use of proprietary data and claim systems for review of facility, professional... ...that may impact more than one company health plan, line of business and/or state....ClaimsTemporary workWork experience placementWork at officeLocal areaDay shift2 days per week1 day per week- Voala in Los Angeles is seeking a CalAIM Billing Specialist I to manage claims for its Health Supportive Services. This role monitors claims accuracy, supports billing processes, and interacts with program leadership to ensure compliance. The ideal candidate should have...Claims
$140k - $160k
...investigation, environmental, health and safety, and... ...dedication to expertise, quality and demonstrating to... ...anywhere. Evaluation of Impact to Properties... ...desired. Environmental Claims Management Environmental... ...physical agent control systems. Interprets rules and...ClaimsWork at officeLocal areaRemote workFlexible hours$135.14k
...Established in 1997, L.A. Care Health Plan is an independent public... ...mission is to provide access to quality health care for Los Angeles... ...purpose. Job Summary The Causal Impact Scientist III is a senior,... ...Exchange), including understanding claims, encounters, eligibility,...ClaimsFull time- ...to support our case manager teams. This full-time role involves gathering and managing medical records crucial for personal injury claims. The ideal candidate has experience in medical documentation, strong attention to detail, and knowledge of HIPAA compliance. We offer...ClaimsFull time
- Aerospace Quality Specialist - Precision with Purpose... ...portals to manage customer claims and rejections. Log... ...inspection software, SAP/ERP systems, and Microsoft Excel.... ...If You Have: Internal auditor certifications (AS9100... ...your work directly impacts aircraft safety and customer...ClaimsCasual workMonday to FridayFlexible hours
- ...insurance ~ Employee discounts ~ Health insurance ~ Opportunity for... ...and eager to make a positive impact in the Sherman Oaks community.... ...process benefit inquiries and claims accurately. Collaborate... ...detailed records in our systems. Support team initiatives to...ClaimsWork at officeRemote work
- Memorial Healthcare System, located in Los Angeles, CA, is seeking professionals with critical thinking skills and effective communication... ...training as a medical Physician. This role involves delivering quality care in a fast-paced environment, requiring self-sufficiency...
$112.3k - $258.3k
...applicants for a Staff position as a Health Sciences Attending Physician... ...documentation and visit claims data in the clinic's electronic medical record (EMR) system promptly and professionally.... ...disease entities and their potential impact upon anesthesia care plan and administration...ClaimsContract workPrivate practiceRemote workMonday to FridayAfternoon shift$116.3k - $264.6k
...visibility Take on a high-impact role within a world-class health organization. Help drive the continued... ...Continuity of Care Retro Claims Retrospective Review Referral... ...implement, and evaluate methods and systems to improve efficiency Ability to...ClaimsRemote workMonday to FridayFlexible hours- ...experience with various coding systems such as ICD‑10, CPT,... ...timely submission of claims Stay up‑to‑date on... ...Meet productivity and quality standards set by the company... ...Bachelor's degree in Health Information Management... ...team and make a positive impact on the healthcare...ClaimsRemote jobFull timeWork at officeHome office
- ...investigations, including general liability claims Help ensure compliance with DOT... ...successful training programs that positively impact the safety of our employees and the community... ...Information Universal Waste Systems celebrates diversity and is an equal opportunity...ClaimsWork at office
- ...service lines that supports Central Health’s data‑driven strategic plans.... ...on large datasets including claims, financial, actuarial, and... ...CEO’s office and Central Health System Partners, to ensure financial... ...such as performing economic impact evaluation, forecasting, ROI analysis...ClaimsWork experience placementWork at office
$95.4k - $208.3k
...chance to contribute to innovative, high-impact research focused on medication safety... ...using large-scale healthcare claims and electronic health record data. The ideal candidate will... ...analysis Familiarity with drug coding systems (NDC, ATC), diagnosis and procedure codes...Claims$90k - $180k
...data sources (EHR, insurance claims, hospital billing, device‑generated... ...affairs, medical affairs, health economics, R&D) and external collaborators... ...and delivering high‑quality scientific work on tight... ...investigators, data vendors, or health system partners preferred. Other...Claims- ...metropolitan area of Sacramento, the Adventist Health corporate headquarters have been... ...initiation and review of new claims in the Event Reporting System; grievances, complaints and concerns... ...Management, Claims, Legal, Patient Safety, Quality, Accreditation, Regulatory, and...ClaimsWork experience placement
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