Our Mission. Kern Health Systems is dedicated to improving the health status of our members through an integrated managed health care delivery system. . . . . . Definition. . . . . . Under limited supervision this position is responsible for auditing a percentage of all types of medical and facility claims from contracting and non-contracting providers and from subscribers and enrollees. Responsibility includes determining the percentage of clai...
Department. Employee Benefits. Job Type. Contract. Job Summary. Reporting to the Manager of Claims Audit Services, the Claims Auditor will serve on a team responsible for performing audits of third-party administrators on behalf of an Employee Benefits or AIM client. Must understand client business goals and how their benefit programs advance / interface with those goals. Uses team resources appropriately to deliver superior audit-consulting serv...
Job Description. Job Description. Medica Talent Group is excited to share this direct-hire opportunity with you. Our client, a reputable community-based health care organization in Los Angeles County is seeking a Claim Auditor to join their growing team. If you have at least 3 years of experience processing claims and are highly motivated with exceptional organizational skills, we invite you to apply. This organization offers a competitive salary...
Individualized professional and personal growth is a primary focus at CPHL. With various teams to match the unique strengths of each individual, tiered roles to support the advancement, and with opportunities for cross-training and education, CPHL is the place for a fulfilling long-term career.JOB SUMMARY. . Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims. Collaborates with other Health plan departments and...
