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Auditor, Claims Operations

Remote: 
Hybrid
Contract: 
Full time
Salary: 
50 - 62K yearly
Experience: 
Mid-level (2-5 years)
Work from: 
Montebello (US)

Offer summary

Qualifications:

High School Diploma or GED required, 3 years of experience in Claims Processing, Knowledge of Medi-Cal regulations, Understanding of medical terminology.

Key responsabilities:

  • Accurate review and auditing of claims
  • Suggest process improvements to management
AltaMed Health Services Corporation logo
AltaMed Health Services Corporation Large http://www.AltaMed.org/
1001 - 5000 Employees
About AltaMed Health Services Corporation
AltaMed is one of the nation’s largest community health networks. For more than 45 years, we have provided care to patients in the diverse neighborhoods of Los Angeles and Orange counties. For health care professionals committed to their patients, communities and careers, AltaMed is an excellent opportunity to pursue professional goals with pride and distinction. AltaMed is a non-profit organization, focused on the needs of our patients and the well-being of our communities. Our commitment to community health compels us to look beyond the walls of our offices and clinics and see not just patients, but new possibilities for community wellness. We have many employees who joined us because their families were AltaMed patients and experienced firsthand that our patients are at the center of all we do. This approach is helping us meet our ambitious goals. We are continually accredited by The Joint Commission (JCAHO), an organization that ensures quality standards in U.S. medical facilities. We’re the first community health network in the nation to have been designated as a Primary Care Medical Home (PCMH). We’re extremely proud of our achievements in patient satisfaction, with our highest scores accomplished during our period of greatest growth. We’ve expanded to 46 Southern California locations, offering primary medical, dental and senior care. We’re active in community outreach and education, and staffed by dedicated professionals committed to patient care. Continuously looking for ways to do more for more people, AltaMed is leading the industry in bringing new people into our nation's health care system as the top enroller for Covered California. As we continue to grow, we remain at the forefront of evolving health care systems, serving patients with comprehensive care throughout their entire lives. And we will build on our reputation as a rewarding long-term decision for both patients and professionals who believe that quality health care is everyone’s right.
See more AltaMed Health Services Corporation offers

Job description

Grow Healthy

If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don’t just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it’s a calling that drives us forward every day.

Job Overview

The Claims Auditor will be responsible for the accurate review and auditing of claims that are adjudicated by the system and the Claims Examiners. The auditor will suggest process improvements to management and act as a resource of information to all staff. The Claims Auditor will identify root cause issues, overpayments, coordinate with the Claims Recovery Unit, and assist with review and responses for Health Plan Audits

Minimum Requirements

1. HS Diploma or GED required.

2. Minimum of 3 years of experience with Claims Processing required.

3. Must be knowledgeable of Medi-Cal regulations.

4. Knowledge of Medicare and Commercial rules and regulations preferred.

5. Knowledge of medical terminology

6. Must have an understanding to read and interpret DOFRs and Contracts.

7. Managed Care concepts.

8. Must have strong organizational and mathematical skills.

Compensation

$26.13 - $32.55 hourly

Compensation Disclaimer

Actual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations. The range is subject to change. AltaMed is committed to ensuring a fair and competitive compensation package that reflects the candidate's value and the role's strategic importance within the organization. This role may also qualify for discretionary bonuses or incentives.

Benefits & Career Development

  • Medical, Dental and Vision insurance
  • 403(b) Retirement savings plans with employer matching contributions
  • Flexible Spending Accounts
  • Commuter Flexible Spending
  • Career Advancement & Development opportunities
  • Paid Time Off & Holidays
  • Paid CME Days 
  • Malpractice insurance and tail coverage
  • Tuition Reimbursement Program
  • Corporate Employee Discounts
  • Employee Referral Bonus Program
  • Pet Care Insurance

Job Advertisement & Application Compliance Statement

AltaMed Health Services Corp. will consider qualified applicants with criminal history pursuant to the California Fair Chance Act and City of Los Angeles Fair Chance Ordinance for Employers. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if AltaMed Health Service Corp. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.

Required profile

Experience

Level of experience: Mid-level (2-5 years)
Industry :
Health, Sport, Wellness & Fitness
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Hard Skills

Medical TerminologyMedicare RegulationsClaims ProcessingCommercial LawsMedicare RegulationsManaged Care
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