Clinical Appeals Audit Specialist jobs in Culver City, CA

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Claims Specialist, Senior

HealthCare Partners 88 reviews - Torrance, CA
Responsible for processing, auditing, and adjusting all professional and facility medical claims, appeals and prepayment audits....

Data Quality Manager - Pasadena

Kaiser Permanente 2,465 reviews - Pasadena, CA
Certified Coding Specialist (CCS), and/or Certified Coding Specialist - Physician (CCS-P). Develop & maintain collaborative relationships & communications w/...

Supervisor, Appeals and Grievances (Woodland Hills)

Health Net, Inc. 3 reviews - Woodland Hills, CA 91367
Regularly audits work of G&A Specialists and reports results. Participates in Health Plan audits as needed....

Claims Audit and Compliance Specialist

Regal Medical Group - Northridge, CA
We currently have an opening for a Claims Audit and Compliance Specialist:. Conducts elevated periodic audits in the same format as existing annual Health Plan...
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Medical Review Nurse

SCAN Health Plan 34 reviews - Long Beach, CA
Route identified clinical and /or risk issues to appropriate personnel e.g. Medical Director, QI Specialist, Medical Care Manager, Member Services, etc....

Data Quality Manager - WH

Kaiser Permanente 2,465 reviews - Woodland Hills, CA
Certified Coding Specialist (CCS), and/or Certified Coding Specialist - Physician (CCS-P). Develop & maintain collaborative relationships & communications w/...
Appeals and Grievances, Clinical Specialist RN or LPN
Healthfirst 109 reviews - United States
The Appeals Grievances (AG) Clinical Specialist is responsible for supporting the Manager and Department Coordinators regarding clinical AG issues....
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