Claims Auditor

4 weeks ago


Los Angeles, California, United States MedPOINT Management Full time
Job Overview

MedPOINT Management seeks a skilled Claims Auditor to ensure the quality and accuracy of claims processes. This role involves auditing claims, researching issues, and providing feedback to improve processes.

Key Responsibilities:

  • Audit claims to ensure compliance with regulations and contractual obligations.
  • Research and resolve issues related to claims processing.
  • Provide feedback and recommendations to improve processes.
  • Collaborate with other departments to achieve organizational goals.
  • Develop and implement policies and procedures to improve claims processing.

Requirements:

  • High school diploma required.
  • Three years of experience in managed care claims adjudication.
  • Expertise in coding structure, ICD-9, ICD-10, CPT-4, and Revenue Codes.
  • Strong organizational, analytical, and communication skills.

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