Claims Auditor
Health Source MSO
📍 Alhambra, CA
💼 Administrative
💵 $70,537 – $70,537/yr
Full-time
Pay
$70,537 – $70,537/yr
Job type
Full-time
Location
Alhambra, CA
Category
Administrative
Posted
Jun 12
Expires
2026-08-11
You will be redirected to the employer's application page.
Full job description
Job Description: Claims Auditor will be responsible for auditing claims processed by Claims Examiners. Responsibilities include, but not limited to: Maintain up-to-date knowledge of procedures for all ICD-10, CPT, HCPC codes including: Contractual agreement rates Health Plan procedures Medicare and Medi-cal reimbursement Claims processing guidelines Evaluate claims based on DMHC and DHS regulations Respond and resolve providers’ and health plans’ inquires in a timely manner Check for adjudicati…