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Job Title: Claims/QC Auditor
Reports to: Office Manager
Purpose: Audit claims to assure accurate and timely payment and to test the work ..
... mainframe system to review each claim image to the actual data ... input into the system & claim payment to ensure accuracy. Benefits, ... & provider disputes. Review each..
This position is located in Kearny Mesa, San Diego County.
8-hour shift: 8:00 am – 5:00 pm, Weekends as needed.
Required Skills and Qualifications
Excellent organizational, ..
... resolve billing inconsistencies. 2. Communicates claim payment decisions to processing staff ... problem solves new or inconsistent claim payment and coding policies. 3. ... ensure that decisions, which affect..
Medical Claims Auditor II
The Medical Claims Auditor II
performs research analytics to support our recovery audit line of business. Assists in the development and implementation of new ..
Delegated Claims Auditor (MediGold)
000 Mchp Audit
Expected Weekly Hours:
Delegated Claims Auditor
At Mount Carmel, we work to ..
Seeking a seasoned Claims Auditor to review Non Standard claims and complaints handling processes to ensure compliance with state laws.
Candidate will plan and implement audit to ..
Sr. External Claims Auditor
Acts as a primary contact with third party audit firms during the course of medical and prescription drug audits and operational assessments. Responds to audit findings ..