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Business Consultant/Analyst-Healthcare Claims Auditor (Downey, CA or Oakland
Kaiser Permanente - Downey, CA
Certification of Physician Assistants. Those external applicants who are hired who do not ... Travel : No Job Eligible for Benefits : No External hires must pass a background...
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Associate Healthcare Claims Auditor Job - new
Thomson Reuters - King of Prussia, PA
- Assist claims auditor with selection and preparation of claims sample and supporting doc ... in limited areas as specified by the lead auditor - Assist claims auditor with...
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Claims Auditor - new
Prospect Medical Systems - Santa Ana, CA
with external providers regarding Claims Overpayment requests. Requires the ... 2-3 years previous experience as medical claims Auditor or 3-5 years previous...
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Claims Auditor-Stop Loss - new
Eagle Bentley - Phoenix, AZ
first dollar medical claims or stop loss claims.* Relationship building skills ... denials.* Ability to manage complex medical claims to a contract- the submitted claims...
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Associate Healthcare Claims Auditor - new
Thomson Reuters - King of Prussia, PA
* Assist claims auditor with selection and preparation of claims sample and supporting doc ... in limited areas as specified by the lead auditor * Assist claims auditor with...
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Workers Compensation Claim Manager
Universal Health Services - King of Prussia, PA
claims: monitors TPA management of major claims; coordinates the return to work of ... financial documentation for internal & external auditor reviews. Prepares analytical...
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Claims Auditor
Molina Healthcare - Irving, TX +1 location
Claims Auditor Position Summary Provider Disputes and/or Member Appeals Resolutions ... HCFA 1500, Outpatient/Inpatient UB92, Universal Claims, Stop Loss, Surgery, and Anesthesia...
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Claims QA Auditor
Kaiser Permanente - Denver, CO
Claims QA Auditor( Job Number: 111134) As a member of Kaiser Permanente Colorados team, ... and applicable regulatory requirements, external laws and accreditation standards.
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Quality Assurance Auditor - new
Tufts Health Plan - Watertown, MA
Assurance Auditor conducts ongoing audits of claims for accuracy, completeness and ... payment policies and procedures. The Claims Auditor will also participate in the research...
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Supervisor, Claims Resolution
Alameda Alliance - Alameda, CA
day-to-day supervision of claim auditors, claims analysts, and claims support staff. * ... departments on claims related issues. * External Advising - Respond to provider claim...
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