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CLAIMS QUALITY ASSURANCE AUDITOR

Responsible for reviewing claims transaction audit reports, perform claims adjudication quality review to ensure compliance with health plan audits. Complete daily, weekly, and monthly audits. Perform daily review of focused pre-p...

CompanyAltais
AddressRemote
CategoryManufacturing
Salary$80,000 - $95,000 a year
Job typeFull-time
Date Posted 2 weeks ago See detail

Claims Quality Assurance Auditor

Altais

Remote

$80,000 - $95,000 a year

Responsible for reviewing claims transaction audit reports, perform claims adjudication quality review to ensure compliance with health plan audits. Complete daily, weekly, and monthly audits. Perform daily review of focused pre-p...

2 weeks ago seen See more...

Medical Director, Care Management

Altais

Oakland, CA

The Medical Director plays a vital role in both the development and implementation of Utilization Management policy and procedures. This physician is chosen based upon their knowledge of medical practice, experience in Managed Car...

3 weeks ago seen See more...

Altais Medical Group President

Altais

Oakland, CA

Develop and implement a strategic vision for the Medical Group in alignment with the organization's mission and goals. Drive growth, expansion, and diversification strategies, both geographically and in terms of services offered....

4 weeks ago seen See more...

Outpatient Care Management, Lead (RN or LVN)

Altais

Oakland, CA

Clinical decision support of Outpatient team members, by training, auditing, assisting with complex case review and decision making. Provide case management activities across the continuum of care in order to facilitate and promot...

4 weeks ago seen See more...

Manager, Care Management (Outpatient)

Altais

California, United States

$145,000 - $170,000 a year

Partner with senior leadership to develop and implement annual strategic planning, resource planning to ensure appropriate resources are allocated to projects and are appropriately calculated in the Care Management department budg...

4 weeks ago seen See more...

Medical Receptionist

Altais

Los Angeles, CA

$18 - $22 an hour

Greets and registers patients for their appointment; provides the necessary paperwork, confirms and/or updates insurance coverage and patient demographic information Collects patient balances and co-pays, appropriately tracks and...

a month ago seen See more...

Palliative Care RN

Altais

Oakland, CA

Serve as the primary point of contact for patients and their families enrolled in the Palliative Care program. Provide emotional and logistical support for patients and their families to help them make informed decisions. See pati...

a month ago seen See more...

Outpatient Care Management, Lead RN

Altais

Oakland, CA

Clinical decision support of Outpatient team members, by training, auditing, assisting with complex case review and decision making. Provide case management activities across the continuum of care in order to facilitate and promot...

a month ago seen See more...

Appeals and Grievances Coordinator (Temp)

Altais

Remote

$30 - $35 an hour

Conducting investigation and review of customer grievances and appeals involving provision of service and benefit coverage issues. Contacts customers to gather information and communicate disposition of case; documents interaction...

2 months ago seen See more...

Claims Quality Assurance Auditor

Altais

Oakland, CA

Responsible for reviewing claims transaction audit reports, perform claims adjudication quality review to ensure compliance with health plan audits. Complete daily, weekly, and monthly audits. Perform daily review of focused pre-p...

2 months ago seen See more...

Top Jobs

Senior Manager, Senior Financial Analyst, Medical Assistant, Utilization Management, Nurse Practitioner, Virtual Medical Assistant, Patient Care Assistant, Care Manager,

What companies are hiring for similar jobs Altais?

The top companies hiring now for Altais similar jobs are Compass Group, Lowe's, HCA Healthcare, Veterans Health Administration, Gotham Enterprises LTD, Sprouts Farmers Market, CVS Health, Sunrise Senior Living, J&J Family of Companies, Ryder System, DOCS Health, UnitedHealth Group, Altais, Humana, ProCare Therapy,

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