Auditor - Provider Recovery - Rancho Cucamonga, United States - Inland Empire Health Plan

Inland Empire Health Plan
Inland Empire Health Plan
Verified Company
Rancho Cucamonga, United States

2 weeks ago

Mark Lane

Posted by:

Mark Lane

beBee recruiter
Description

Overview:

What you can expect
Find joy in serving others with IEHP We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an
authentic experience


Under the direction of the Provider Claims Resolution & Recovery Supervisor, the Provider Recovery Auditor is responsible for the audit and recovery of claims overpayments including COB and third-party liability.


Commitment to Quality:

The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.


Additional Benefits:

Perks


IEHP is not only committed to healing and inspiring the human spirit of our Members; we also aim to match our Team Members with the same energy by providing prime benefits and more.


  • CalPERS retirement
  • 457(b) option with a contribution match
  • Generous paid time off
- vacation, holidays, sick

  • State of the art fitness center onsite
  • Medical Insurance with Dental and Vision
  • Paid life insurance for employees with additional options
  • Shortterm, and longterm disability options
  • Pet care insurance


  • Flexible Spending Account

  • Health Care/Childcare
  • Wellness programs that promote a healthy worklife balance
  • Career advancement opportunities and professional development
  • Competitive salary with annual merit increase
  • Team bonus opportunities

Qualifications:

Education & Experience

  • Four (4) years claims processing experience including Medicare and Medi-Cal
  • Two (2) years of experience auditing claims in a managed care environment including contract and financial DOFR interpretation

Key Qualifications

  • Strong analytical and problemsolving skills
  • Must be able to review cause and impact of problems and recommend realistic solutions both in writing and in meetings
  • Microsoft Office including being able to manipulate large data sets in Excel files
  • Excellent oral and written communication skills

Pay Range:
USD $ USD $39.94 /Hr.
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