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Confidential Posting
Job Summary
- Location
- Northridge, CA
- Industries
- Healthcare Services
- Financial Services
- Job Type
- Full Time
- Employee
- Years of Experience
- 2+ to 5 Years
- Career Level
- Experienced (Non-Manager)
Medical Claims Auditor (HMO)
About the Job
- Audit of claims to alleviate any incorrect decisions
Requirements
- At Least 5+ Years Experience examining claims with 5+ years of Managed Care HMO experience
- Experience with HMO, Managed Care, Medicare, Medi-Cal, Commercial, Senior, DRG/RCC rates, ICD-9, anesthesia claims, in-patient claims, SNF, DME, dialysis, chemo, stop loss or case rates, COB, outpatient surgeries, ER and all other claim types
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