NearbyLA

Claims Auditor

Health Source MSO

Full-time
$34/hr
No experience
Posted 13d ago

About the job

Job Description: Claims Auditor will be responsible for auditing claims processed by Claims Examiners. Responsibilities include, but not limited to: Maintain up-to-date knowledge of procedures for all ICD-10, CPT, HCPC codes including: Contractual agreement rates Health Plan procedures Medicare and Medi-cal reimbursement Claims processing guidelines Evaluate claims based on DMHC and DHS regulations Respond and resolve providers’ and health plans’ inquires in a timely manner Check for adjudicati…

Location

Alhambra, Los Angeles County

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