Medical Claims AnalystCompensation:
$23.75 to $27.50 hourly
An Expanding Health Plan in Alhambra is in the immediate need of a Medical Claims Auditor. The Medical Claims Auditor must have 5 years of claims experience • Knowledge on Health Plan DOFR • Facilitate the correction of claim adjudication errors. • Understand the types of provider contracting arrangements and/or benefits administration data elements that need to be configured in the appropriate applications to support the accurate & timely payment of claims • Maintain knowledge of all ICD-10, CPT, HCPC codes, general billing procedures for health care providers and institutions, as well as Medicare and Medi-Cal reimbursement guidelines • Test and audit claims payments for accuracy against contract information loaded into EZCAP • Maintains detailed knowledge & understanding of EZCAP rules relative to claims payment • Track and analyze claims adjudication errors Please send resumes to [Click Here to Email Your Resumé]
Medical Claims EZ CAP
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