Recovery and Compliance Professional

5 days ago


Los Angeles, California, United States MedPOINT Management Full time
Claim Recovery Role

We are hiring a Claim Recovery Specialist to research and identify complex overpayments on previously processed claims for multiple product lines. The ideal candidate will have experience with medical claims and/or audits, strong Excel skills, and knowledge of claims processing/collections, Health Plan capitation deductions, and medical terminology.

Key Tasks
  • Research and identify complex overpayments on previously processed claims.
  • Assist with DOFR implementation projects and other related tasks.
  • Review claim refunds and capitation deductions from various IPA's/Health Plans.
Salary and Benefits

The estimated salary for this position is $70,000 - $90,000 per year, based on national averages. Benefits include opportunities for career growth, professional development, and a collaborative work environment.



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