Claims Auditor-Auditing Claims
Company: Providence Health & Services
Location: Anaheim
Posted on: May 9, 2022
Job Description:
Claims AuditorLocation: Anaheim, CAWork Schedule: Full time - 80
Biweekly HoursShift: 8-hour, DaysThe Claims Auditor performs
various audits of claims payments and denials to ensure accuracy
based on the DOFR, internal policies and procedures and regulatory
requirements.Required qualifications:
- 3 years Claims processing experience in a managed care
environment.Preferred qualifications:
- 1 year Claims Audit experience.
- Experience processing Medicare or Medi-Cal/ One Care Connect
claims.Our best-in-class benefits
(https://www.providenceiscalling.jobs/rewards-benefits/) are
uniquely designed to support you and your family in staying well,
growing professionally, and achieving financial security. We take
care of you, so you can focus on delivering our Mission
(https://www.providenceiscalling.jobs/mission-core-values/) of
caring for everyone, especially the most vulnerable in our
communities.Providence Medical Foundation (formerly St. Joseph
Heritage Health) includes seven medical groups throughout Northern
California, Orange County, High Desert and Los Angeles County. With
175 locations and nearly 4,000 caregivers (employees), Providence
Medical Foundation has been continually recognized as a leader in
quality, receiving top honors from various organizations, including
the Orange County Medical Association for Physicians of Excellence
and the Integrated Healthcare Association with distinction in
clinical quality. Providence Medical Foundation provides equal
employment opportunities (EEO) to all employees and applicants for
employment without regard to race, color, religion, sex, national
origin, age, disability or genetics. In addition to federal law
requirements, Providence Medical Foundation complies with
applicable state and local laws governing nondiscrimination in
employment in every location in which the company has facilities.
This policy applies to all terms and conditions of employment,
including recruiting, hiring, placement, promotion, termination,
layoff, recall, transfer, leaves of absence, compensation and
training.Company: Providence Medical FoundationCategory: Billing/
InsuranceReq ID: R357841
Keywords: Providence Health & Services, Anaheim , Claims Auditor-Auditing Claims, Accounting, Auditing , Anaheim, California
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