Claims Auditor - Pomona, United States - LHH

Description

LHH is seeking a Medical Claims Auditor


Job Description:

Under the guidance of the Provider Claims Resolution & Recovery Supervisor, the Provider Recovery Auditor will undertake the critical responsibility of auditing and recovering claims overpayments, including those related to Coordination of Benefits (COB) and third-party liability.

This role requires a meticulous individual with a strong background in claims processing, particularly within the realms of Medicare and Medi-Cal.

Education & Experience:
Four (4) years of claims processing experience, with proficiency in Medicare and Medi-Cal protocols.
Two (2) years of auditing experience in a managed care environment, encompassing contract and financial DOFR interpretation.
Familiarity with MS Office applications.


Key Qualifications:
Proficient in analytical thinking and adept at problem-solving.

Ability to thoroughly review the causes and impacts of problems and suggest practical solutions, both in written form and during meetings.

Competency in Microsoft Office, including the manipulation of large datasets within Excel files.
Exceptional oral and written communication skills.

This position offers an excellent opportunity for individuals who are passionate about ensuring accuracy and efficiency within the medical claims auditing process.

If you meet the qualifications outlined above and are ready to contribute to our team, we encourage you to apply.

Please submit your resume and a cover letter outlining your relevant experience and why you would be a suitable candidate for this role.

Note:
This is a temporary 6-month assignment with potential for extension based on performance and business needs.


Compensation:
$30 per hour

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