Top 322 Credentialing specialist, internal auditor Jobs in Ucla Ca

Credentialing Specialist, Internal Auditor
MedPOINT Management —Woodland Hills, CA
- $24 - $28 an hour
- Writing skills
- Mid-level
- High school diploma or GED
Credentialing Specialist
UCLA Health —Los Angeles, CA
- $26.92 - $50.86 an hour
- Online Application
- Computer literacy
- Mid-level
- Bachelor's degree
11d
Senior Accountant
Younan Properties, Inc —Woodland Hills, CA
- $85,000 - $95,000 a year
- Full-time
- 5 years
- Office
- Finance
- Disability insurance
- Health insurance
Quick Apply
Accounting & Payroll Manager
Janitorial Company —La Crescenta, CA
- $90,000 - $120,000 a year
- Full-time
- Background check
- Spanish
- Microsoft Excel
- Health savings account
- Health insurance
Quick Apply
Senior Internal Auditor - Calabasas, CA
The Cheesecake Factory —Calabasas Hills, CA
- $105,000 - $115,000 a year
- Email
- Hybrid work
- CPA
- Office
- Bachelor's degree
- Health insurance
- Dental insurance
Mortgage QC Manager
Cake Mortgage Corp. —Chatsworth, CA
- $85,000 - $120,000 a year
- Full-time
- Background check
- Management
- 3 years
- Health insurance
- Dental insurance
Quick Apply
Accounting Operations Manager - URGENT HIRE
Prestige Legal Solutions, P.C. —Los Angeles, CA
- From $110,000 a year
- Urgently hiring
- Mid-level
- Finance
- Analysis skills
- Free parking
- AD&D insurance
Quick Apply
Internal Auditor
First Commercial Bank(USA) —Arcadia, CA
- From $91,524 a year
- Full-time
- Background check
- Computer literacy
- Office
- Health insurance
- Dental insurance
Quick Apply
Corporate Controller
Precise Behavioral INC. —Los Angeles, CA
- From $130,000 a year
- Full-time
- Hybrid work
- Background check
- Management
- CPA
- Health insurance
- Dental insurance
Quick Apply
Director - Corporate Development and Ventures
Bridgewater Law Group —Santa Fe Springs, CA
- $75,000 - $250,000 a year
- Full-time
- Office
- Continuous improvement
- GAAP
- Health insurance
- 401(k)
Quick Apply
Staff Accountant
Addison Group —Hawthorne, CA
- $30 - $35 an hour
- Contract
- Mid-level
- Office
- 3 years
- Dental insurance
- 401(k)
Quick Apply
Senior Accountant- (Acute Care/ Hospital Setting Experience Required)- Hybrid- Gardena, CA
Avanti Hospitals —Gardena, CA
- $92,102.40 - $135,408.00 a year
- Hybrid work
- Management
- Computer literacy
- HIPAA
- Health insurance
Quick Apply
Financial Analyst – FP&A, Operations & Business Analytics
Oliveda International Inc. —Culver City, CA
- $80,000 - $90,000 a year
- Full-time
- Mid-level
- Office
- 3 years
- Health insurance
- Dental insurance
Quick Apply
4d
Deputy Chief Audit Executive of City National
City National Bank —Los Angeles, CA
- $187,000 - $308,000 a year
- 11+ years
- Office
- Analysis skills
- Health insurance
- Dental insurance
Accounting Manager
GATEWAYS HOSPITAL & MENTAL HEALTH CENTER —Glendale, CA
- $120,000 - $135,000 a year
- Full-time
- Management
- CPA
- Finance
- 403(b) matching
- Paid holidays
Quick Apply
Senior Financial Reporting Analyst
Century Group International Inc —Los Angeles, CA
- $110,000 - $130,000 a year
- Microsoft Excel
- CPA
- Research
Quick Apply
Final Lab Technician Quality Lead - 1st Shift
Howmet Aerospace —Carson, CA
- $35 - $42 an hour
- Full-time
- 5 years
- English
- High school diploma or GED
- Paid holidays
- Health insurance
Quick Apply
Bookkeeper
Housing Works, CA —Los Angeles, CA
- $25 - $28 an hour
- Overtime
- Microsoft Excel
- 5 years
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
Financial Controller (Apparel Manufacturing)
TCW Trends, Inc. —Torrance, CA
- Full-time
- 11+ years
- GAAP
- QuickBooks
- Health insurance
- Dental insurance
Quick Apply
7d
Senior Accountant
Alliance Resource Group —Woodland Hills, CA
- $100,000 - $110,000 a year
- Full-time
- Microsoft Excel
- Oracle
- CPA
Quick Apply
5d

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credentialing specialist, internal auditor jobs near ucla ca

Credentialing Specialist, Internal Auditor

MedPOINT Management -
Woodland Hills, CA

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Job Details

$24 - $28 an hour

Qualifications

Customer communication
High school diploma or GED

Full Job Description

Summary

Primary responsibility involves auditing credentialing files after internal and Gemini processing to ensure that all verifications are clearly bookmarked in accordance with established Standard Operating Procedure (SOP) documents, dates are correct and in accordance with NCQA and regulatory guidelines and necessary documents are completed and attached.

Duties and Responsibilities:

Audits credentialing files after internal and Gemini processing for completeness
Audits credentialing files after internal and Gemini processing for correct date validations
Ensures that all completed credentialing files are bookmarked correctly in accordance with the established Standard Operating Procedure (SOP)
Documents auditing results and notifies respective credentialing coordinator of results and/or areas that require correction
Submits quarterly HICE credentialing reports to contracted health plans
Identifies issues that require additional investigation and evaluation; validates discrepancies and ensures appropriate follow-up.
Responds to inquiries from health plans and provider offices/clinics; interfaces with internal and external customers on day-to-day credentialing issues as they arise.
Optimizes efficiency with document generation and reporting.
Monitors the initial, recredentialing and expirable processes for all delegated providers including allied health professional staff.
Enters primary source documentation to home grown credentialing database sPHERICAL, Gemini’s G1 system, and symplr based on established workflows.
Remains informed about changes in regulations and NCQA standards related to credentialing.
Attends MPM Credentialing Committee and HICE meetings as requested.
Assist Credentialing Coordinators with chart completion as time permits.

Minimum Job Requirements:

High school diploma or GED
At least 2 years’ experience with hospital medical staff or managed care credentialing position.
NAMSS Certification as a Certified Professional Medical Services Manager (CPMSM) or Certified Provider Credentials Specialist (CPCS) or actively pursuing the above certification highly preferred.

Skills and Abilities:

Strong written and oral communication skills.
Knowledge of healthcare credentialing procedures and standards.
Ability to multitask in fast paced environment.
Sharp attention to detail.
Ability to analyze, interpret and prepare reports.
Proficiency with Microsoft Office 355 Programs; primarily Word and Excel
EZ-CAP® and Smartsheet knowledge a plus.

Salary Range:

$24 - $28 hourly

Apply Now

Refine Your Search

credentialing specialist, internal auditor jobs in ucla ca

Credentialing Specialist, Internal Auditor

Credentialing Specialist

Senior Accountant

Accounting & Payroll Manager

Senior Internal Auditor - Calabasas, CA

Mortgage QC Manager

Accounting Operations Manager - URGENT HIRE

Internal Auditor

Corporate Controller

Director - Corporate Development and Ventures

Staff Accountant

Senior Accountant- (Acute Care/ Hospital Setting Experience Required)- Hybrid- Gardena, CA

Financial Analyst – FP&A, Operations & Business Analytics

Deputy Chief Audit Executive of City National

Accounting Manager

Senior Financial Reporting Analyst

Final Lab Technician Quality Lead - 1st Shift

Bookkeeper

Financial Controller (Apparel Manufacturing)

Senior Accountant

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