Claims Auditor jobs in United States
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AltaMed Health Services · 7 hours ago

Claims Auditor

AltaMed Health Services is dedicated to providing exceptional care to communities and is looking for a Claims Auditor. The role involves reviewing and auditing claims, suggesting process improvements, identifying root cause issues, and assisting with Health Plan Audits.

FitnessHealth CareWellness

Responsibilities

The Claims Auditor will be responsible for the accurate review and auditing of claims that are adjudicated by the system and the Claims Examiners
The auditor will suggest process improvements to management and act as a resource of information to all staff
The Claims Auditor will identify root cause issues, overpayments, coordinate with the Claims Recovery Unit, and assist with review and responses for Health Plan Audits

Qualification

Claims ProcessingProcess ImprovementRoot Cause AnalysisHealth Plan AuditsCommunication Skills

Required

HS Diploma or GED required
Minimum of 3 years of experience with Claims Processing required

Benefits

Medical, Dental and Vision insurance
403(b) Retirement savings plans with employer matching contributions
Flexible Spending Accounts
Commuter Flexible Spending
Career Advancement & Development opportunities
Paid Time Off & Holidays
Paid CME Days
Malpractice insurance and tail coverage
Tuition Reimbursement Program
Corporate Employee Discounts
Employee Referral Bonus Program
Pet Care Insurance

Company

AltaMed Health Services

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AltaMed is one of the nation’s largest community health networks.

Funding

Current Stage
Late Stage
Total Funding
$0.05M
Key Investors
Latino Community FoundationSoutheast Los Angeles (SELA) CollaborativeExact Sciences
2025-01-14Grant
2024-03-06Grant
2023-07-26Grant· $0.05M

Leadership Team

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Castulo de la Rocha
President & CEO
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Efrain Talamantes
Chief Operating Officer
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Company data provided by crunchbase