Premium Audit Jobs in Fountain Valley, CA

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1-15 of 19 Jobs

Remote Drg Coding Auditor

  • Elevance Health
  • Costa Mesa, CA (3 miles from Fountain Valley, CA)
  • 5 days ago
Identifies new claim types by identifying potential claims outside of the concept where additional recoveries may be available, such as re-admissions, Inpatient to Outpatient, and HACs....
Remote Work

Auditor (Non-Clinical)

  • CalOptima
  • Orange, CA (7 miles from Fountain Valley, CA)
  • 14 days ago
Summary The Audit & Oversight Auditor will conduct routine oversight, monitoring, and auditing of all internal business functions within CalOptima, as well as externally delegated functions such as Claims...

Auditor (Non-Clinical)

  • CalOptima
  • Orange, CA (6 miles from Fountain Valley, CA)
  • 15 days ago
Summary The Audit & Oversight Auditor will conduct routine oversight, monitoring, and auditing of all internal business functions within CalOptima, as well as externally delegated functions such as Claims...

Claims Auditor

  • Providence Health & Services
  • Anaheim, CA (9 miles from Fountain Valley, CA)
  • 23 days ago
Required qualifications: 3 years Claims processing experience in a managed care environment. Preferred qualifications: 1 year Claims Audit experience....

Claims Auditor

  • AltaMed Health Services
  • Montebello, CA (22 miles from Fountain Valley, CA)
  • 30+ days ago
Provide regular feedback to the Claims Management team concerning process improvement opportunities, or any training opportunities relative to adequacy of file investigation/ development in advance...

Sr. Premium Field Auditor

  • CopperPoint
  • Irvine, CA (11 miles from Fountain Valley, CA)
  • 30+ days ago
Founded in 1925, CopperPoint Insurance Companies is a leading provider of workers' compensation and commercial insurance solutions....

Revenue Integrity Auditor - Revenue Integrity

  • Irvine, CA (11 miles from Fountain Valley, CA)
  • 45+ days ago
Experience in providing both verbal and written feedback or education directly to clinical and/or billing staff regarding coding, charging, documentation, payor authorization, and claim processing requirements...

Claims Auditor - Claims

  • Providence Health & Services
  • Anaheim, CA (9 miles from Fountain Valley, CA)
  • 60+ days ago
Required qualifications: 3 years Claims processing experience in a managed care environment. Preferred qualifications: 1 year Claims Audit experience....

Claims Auditor - Medical & Health Insurance - Fullerton, CA

  • Diedre Moire Corporation
  • Fullerton, CA (11 miles from Fountain Valley, CA)
  • 60+ days ago
Audit medical and health insurance claims for employer stop loss insurance provider. *** Examine pertinent information online and through reports to audit all types of managed care claims. *** Review...

Claims Auditor - Medical Stop Loss - Lake Forest, CA

  • Diedre Moire Corporation
  • Lake Forest, CA (15 miles from Fountain Valley, CA)
  • 60+ days ago
of the error findings and preliminary scores on all audits; assist creation of corrective action plan. *** Coordinate with the staff to make sure claims process is finalized. *** Assist Claims Supervisors...

Claims Recovery Auditor - Self-Insured Employers - Garden Grove, CA

  • Diedre Moire Corporation
  • Garden Grove, CA (5 miles from Fountain Valley, CA)
  • 60+ days ago
Audit claims to identify overpayment and ensure payment resolution for recoveries in a timely, accurate, and efficient manner. *** Review and audit claims data to identify overpayments using defined...

Health Insurance Claims Auditor - Fountain Valley, CA

  • Diedre Moire Corporation
  • Fountain Valley, CA
  • 60+ days ago
Audit health, dental and vision claims to obtain results which are representative of actual performance, measure claim payment accuracy, and provide a tool for management to improve claim administration...

Stop Loss Insurance Claims Auditor - Costa Mesa, CA

  • Diedre Moire Corporation
  • Costa Mesa, CA (3 miles from Fountain Valley, CA)
  • 60+ days ago
Prepare reports for reinsurance and stop loss companies regarding medical cost management of large complex claims. *** Acts as principal point of contact for stop loss administrators. *** Review and...

Stop Loss Insurance Claims Auditor - Anaheim, CA

  • Diedre Moire Corporation
  • Anaheim, CA (9 miles from Fountain Valley, CA)
  • 60+ days ago
Analyze and interpret complex stop loss contracts, provider requirements, and payment methodologies for hospital-based reimbursement and physician-based reimbursement. *** Manipulate data in...

Insurance Claims Auditor - Stop Loss Coverage - Irvine, CA

  • Diedre Moire Corporation
  • Irvine, CA (11 miles from Fountain Valley, CA)
  • 60+ days ago
processing gaps and improve overall audit results. *** Identify systems enhancements and process flows to prevent ongoing claim adjudication errors by documenting errors via SharePoint database. **...

Demographic Data for Fountain Valley, CA

Moving to Fountain Valley, CA? Find some basic demographic data about Fountain Valley, CA below.


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Salary for Premium Audit Jobs in Fountain Valley, CA

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Highest Education Level

Premium Audits in Fountain Valley, CA offer the following education background
  • Bachelor's Degree (48.1%)
  • Master's Degree (15.9%)
  • Vocational Degree or Certification (10.9%)
  • Associate's Degree (10.9%)
  • High School or GED (9.9%)
  • Doctorate Degree (2.3%)
  • Some College (1.9%)
  • Some High School (0.1%)

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