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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 ( 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 ( 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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