Claims Auditor Job at ProKatchers LLC, Los Angeles, CA

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  • ProKatchers LLC
  • Los Angeles, CA

Job Description

Job Title : Claims Auditor

Location : Los Angeles, CA 90017(Remote)

Duration : 21 weeks

Job Description:

The Specialty Health Plans Auditor III, Claims is responsible all aspects of planning, execution, reporting, and corrective action plans monitoring of claims processing compliance for specialty health plans and vendors.

Essential Duties and Responsibilities:

  • Performs annual claims audits for Specialty Health Plans and vendors.
  • Provides timely and accurate deliverables to ensure claims processing follow regulatory and contractual requirements for plan partners, participating provider groups, capitated hospitals, specialty health plans, and vendors.

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