Claims Auditor
Apply NowLocation:
Montebello, CA, US
Company:
AltaMed is a leading healthcare provider focused on delivering affordable, high-quality care to underserved communities in Los Angeles and Orange Counties.
Summary:
The Claims Auditor will review and audit claims, provide process improvement suggestions, and identify issues for management. Applicants need a high school diploma or GED and 3 years of claims processing experience.
Requirements:
Credentials: HS Diploma or GED required
Experience: Minimum of 3 years of experience with Claims Processing required.
Job Description:
The Claims Auditor will be responsible for the accurate review and auditing of claims that are adjudicated by the system and the Claims Examiners. The auditor will suggest process improvements to management and act as a resource of information to all staff. The Claims Auditor will identify root cause issues, overpayments, coordinate with the Claims Recovery Unit, and assist with review and responses for Health Plan Audits.
