Claims Adjustment Specialist
UCLA Health
Full-time
$28/hr
No experience
Posted 1mo ago
About the job
Description The Claims Adjustment Specialist analyzes and processes medical claim adjustments related to overpayments, underpayments, provider corrected claims, and reimbursement discrepancies. This role conducts detailed research on complex and escalated claims to ensure accurate payment determinations and compliance with CMS, DMHC, and health plan guidelines. The position supports claims resolution activities involving appeals, reconsiderations, complaints, and payment corrections while maint…
Location
Pico Heights, Los Angeles County
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