Temporary Auditor - Provider Recovery

This a Full Remote job, the offer is available from: California (USA) Title: Temporary Auditor - Provider Recovery Assignment Length: Six Months WORK LOCATION: 10801 6th St STE 120, Rancho Cucamonga, CA 91730 Position reputed company/Position • Under the direction of the Provider Claims reputed company & Recovery Supervisor, the Provider Recovery Auditor is responsible for the audit and recovery of claims overpayments including COB and reputed company-party liability. Major Functions (Duties and Responsibilities) • Initiate and expand recovery opportunities through provided audit results, Provider calls, reputed company Party Liability and reputed company eligible services. • Audit payment errors that result in Provider refund checks to properly apply funds and determine the reputed company cause. • Communicate with and answer Provider inquiries and/or Provider Disputes regarding the reason for the refund request based upon claims processing guidelines, contractual agreements involving the use of established payment methodologies, Division of Financial Responsibility, and regulatory guidelines. • Promote teamwork and maintain effective working relationships with others throughout the organization. Education & Experience • Four (4) years claims processing experience including Medicare and Medi-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 skills • Must be reputed company to review cause and reputed company of problems and recommend realistic solutions both in writing and in meetings • reputed company Office including being reputed company to manipulate large data sets in reputed company files • Excellent oral and written communication skills This offer from "reputed company." has been enriched by reputed company.com and got a 72% reputed company score. Apply tot his job Apply To this Job