Claims Quality Assurance (QA) Manager and Supervisor, the Claims Specialist Quality Assurance I (CSQA) is responsible... for ensuring the integrity of all data created and updated by the Claims Processing staff. The CSQA will utilize quality auditing...
Paid Time Off and Sick Leave. Responsibilities The Claims Quality Specialist is responsible for ensuring the accuracy... errors, and implementing corrective actions to improve overall claims accuracy and efficiency. The Claims Quality Specialist...
Paid Time Off and Sick Leave. Responsibilities: The Claims Quality Specialist is responsible for ensuring the accuracy... errors, and implementing corrective actions to improve overall claims accuracy and efficiency. The Claims Quality Specialist...
. As the QA Specialist you’ll have the chance to analyze and audit claims, including the billing, collections and insurance... verification functions. Apply sampling methods and other procedures that ensure that quality standards are met. What You'll...
Quality Assurance Analyst Department: Claims Office: Hybrid San Francisco Location: San Francisco, CA Salary... and advanced level daily quality assurance reviews to ensure and report on the accuracy of claims processing end-to-end...
legal documents for attorneys through the EAMS website and ensure quality assurance of these documents. Assist nurses..., performs routine but varied medical administrative duties of moderate complexity in support of the claims function. Duties...
. Collaborate and consult effectively with Clinical Quality Assurance, Mental Health and any other staff/programs to ensure...Billing Specialist 2116 Arlington Ave, Los Angeles, CA 90018, USA ● Los Angeles, CA, USA Req #11373 Wednesday...
. Strong verbal and written communication skills. Preferred: Knowledge of National Committee for Quality Assurance (NCQA.... Mission: L.A. Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income...
caseload across the entire continuum of programmatic levels including those within National Committee for Quality Assurance.... Mission: L.A. Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income...
and applications. Knowledge of claims review, analysis and quality assurance. Knowledge of commercial insurance and government.... Experience in electronic claims submission, electronic health records, posting payments, working A/R including completion of CIF...
. Develops and maintains standards for database integrity and quality assurance, coordinates corrective activities to clean... develop/maintain standards for database integrity and quality assurance Coordinate corrective activities to clean database...
Participates in quality assurance processes including but not limited to the audit program, case reviews and training sessions... colleagues remain fueled by our driving purpose: to provide outstanding patient experience by delivering the highest quality...
programs of the organization. Oversees risk management activities including processing claims filed against the facility... of enhancing/promoting patient safety, ensuring quality care and minimizing loss to protect the assets of the organization...
: Knowledge of health care policies Knowledge of medical ethics Knowledge of quality assurance techniques Knowledge of written... Nurse Care Manager is a health and human services specialist who acts as a guide and advocate for families who are caring...
. Review and approve adjustments and claim appeal submitted by Specialist of Patient Accounts. Conduct quality assurance... activities to ensure timely submission of primary, secondary and tertiary insurance claims. Serve as a subject matter expert...