Healthcare Claims Specialist/Auditors - ON1034701

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Weekly Pay

Full-Time/Part-Time

Temp-to-Hire Opportunity

Position: Healthcare Claims Specialist/Auditor

Pay Rate: $30.00/hr

Shifts Available: 1st shift

Location: Whittier, CA 90602

What You’ll Be Doing

We’re hiring immediately for a Healthcare Claims Specialist/Auditor role in a fast-paced environment. Responsibilities will include, but are not limited to:

• The Claims Compliance Analyst will coordinate Health Plan’s audits activities with preparation and provide preliminary results on non-compliant claims to the Claims Director.
• Assists with an audit control checklist for prevention of claims untimeliness of payment.
• Collaborates in conjunction with the Managed Care Management Team and other auditors, to ensure QA programs are aligned with claims operations and other areas that have direct impact with claims to prevent non-compliance.
• Adheres to internal department standard operating procedures and applies standard industry guidelines in accordance with regulatory agencies (state and federal).
• Prepares and submits all monthly, quarterly and as needed reporting to the health plans (Monthly Timeliness, ODAGs, Part C, claims universe, etc.)
• More duties may be assigned upon hire.

Additional Information

• 1st shift
• Day shift, 8 hours, 7:00am - 3:30pm
• Monday - Friday

Why You'll Love It Here

• Weekly Pay
• Medical, Dental, Vision & Life Insurance
• Fast placement & growth potential

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Job Type: Full-time

Pay: $30.00 per hour

Benefits

• Dental insurance
• Health insurance
• Vision insurance

Work Location: In person