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Auditor - Provider Recovery
•23 days ago
| Verified Pay | $25.00 - $30.00 per hour |
|---|---|
| Hours | Full-time, Part-time |
| Location | Rancho Cucamonga, California |
About this job
Title: Auditor - Provider Recovery
Location: Rancho Cucamonga, CA (Hybrid Tues, Wed, And Thursday onsite. Mon/Friday (remote))
Duration: 6-month contract
Rate Range: $25 to $30/hr. on W2.
Responsibilities:
Summary
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.
Responsibilities:
Qualification:
- Four (4) years claims processing experience including Medicare and Med-Cal
- Two (2) years of experience auditing claims in a managed care environment: including contract and financial DOFR interpretation.
- Experience with MS office applications.
Key Qualifications
- Strong analytical and problem solving
- 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
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