Claims Auditor

Start/end time: : am to : pm
Shift : Day

Next Start date: Immediately

Contract length: months





POSITION SUMMARY

The Claims Auditor assists in the Claims Department by analyzing procedures, policies and reports; ensures appropriate payment of claims and maintenance of the claims system as necessary.



SPECIFIC SKILLS NEEDED

Knowledge of HMO/or IPA operations; medical terminology; ICD-, RVS, and CPT coding knowledge; knowledge of Medicare and Medi-Cal guidelines; -key skills by touch; excellent communication skills; knowledge of system applications; ability to function effectively under time deadlines; strong organizational skills.



Required:

Formal training will be indicated by a high school diploma or equivalent; four years medical claims processing.



Preferred:

•Department Management to list.



DUTIES AND ...