Claims Investigation Jobs in Aliso Viejo, CA

Entry Level Associate responsibilities include but are not limited to the following:Apply accounting financial and analytical skills to various client situations and practice disciplines such as detailed reviews of financial statements and underlying accounting records.Perform researc More...

Entry Level Associate responsibilities include but are not limited to the following:Apply accounting financial and analytical skills to various client situations and practice disciplines such as detailed reviews of financial statements and underlying accounting records.Perform researc More...

At Experian Health our employees can shape more than products they shape the future of U.S. healthcare. Experian Health is a pioneer for innovations leading the way in revenue cycle management identity management patient engagement and care management for hospitals physician groups l More...

Job Overview:The State of Maine is seeking a Senior Business Subject Matter Expert (SME) to support the Medicaid Enterprise Systems (MES) modernization efforts. This role requires an expert who will provide deep technical leadership contribute to project planning and offer guidance on More...

At Experian Health our employees can shape more than products they shape the future of U.S. healthcare. Experian Health is a pioneer for innovations leading the way in revenue cycle management identity management patient engagement and care management for hospitals physician groups l More...

Under the direction of the VP of Revenue Cycle Management the Senior Manager Revenue Cycle Management is responsible for oversight and training of staff management of functions and processes and accountable for the team hitting performance quality and production metrics. In addition t More...

Role: JD Edwards E1 Finance Functional Location Remote Job Description: Minimum 10 years of experience as JD Edwards E1 Finance Functional SME Responsible for carrying out Production Support of Global E1 Instance in Support/Troubleshooting Resolving Issues/ Root cause Investiga More...

AECOM is seeking an Environmental Project Manager / Environmental Engineer to manage a variety of industrial investigation/remediation projects. The ideal candidate will be able to demonstrate investigation/remediation project and remedial design experience require a strong More...

Salary $2224/hourly based on experience As a Patient Financial Experience representative you will be a part of TPG's patient billing customer service team delivering exceptional customer service to our patients. You will be responsible for receiving inbound patient phone calls fo More...

Security Analyst (Senior Expert) Remote Longterm Contract Scope: Security Analyst Resources plan implement upgrade or monitor security measures for the protection of systems networks and information; ensures appropriate security controls are in place to safeguard digital files and vit More...

A Customer Service Representative (CSR) will provide service to accounts and any team call routed to them. Responsibilities include but are not limited to phone fax email processing orders and credits/return authorizations. The CSR is the main contact for information to the customers. More...

The Enrollment Specialist will be the primary contact for the Enrollment Department for all Priviaindependent providers and responsible for all aspects of managing the payer enrollment process for thismarket. The Enrollment Specialist will take steps necessary to enroll all new groups More...

The Enrollment Specialist will be the primary contact for the Enrollment Department for all Privia independent providers and responsible for all aspects of managing the payer enrollment process. Primary Job Duties:The Enrollment Specialist will take steps necessary to enroll More...

As a Forensic Accounting and Economics Intern you will work with a team of experts to analyze the numbers and provide unparalleled client service.  Job Responsibilities:Assist in the measurement of small and large losses More...

Under the direction of the Director or Manager of Revenue Cycle Management the Accounts Receivable (AR) Manager is responsible for complete accurate and timely processing of all designated claims reviewing and responding to daily correspondence from physician practices in a timel More...

Lead and manage a team of revenue integrity specialists responsible for national audits focused on underpayment recoveries and billing accuracy Nationally manage signed contracts and fee schedules/rates; create and load within Privias contract system (Trizetto/Cognizant) and update t More...

Experian Project Manager needed to oversee the implementation and integration of Experian Applications as part of Epic EHR program. They provide additional coordination and communication for their team. Reports to the EHR Program Management Office.Role Description The Project Manager More...

Purpose:Promotes patient safety through ability to independently review patient safetyrelated data from medical device/combination products in clinical trials or as part of postmarket surveillance. The primary responsibility is to assess the content quality and adherence of data to re More...

The ideal candidate will have a strong background in engineering architecture or construction management along with exceptional leadership skills and a proven track record of successfully resolving highstakes disputes.Minimum of 15 years of experience in construction disputes with a f More...

Job Title: EHS Specialist (Remote) Client: Medical Device Manufacturing Company Location: Virtual Colorado 80239 Duration: 4 months Shift: 1st Shift Job Description Responsibilities may include the following and other duties may be assigned. Develops administers and implements enviro More...