Job Information

Providence Claims Auditor in Anaheim, California

Description

Claims Auditor - Claims

Location: Anaheim, CA

Work Schedule: Full time - 80 Biweekly Hours

Shift: 8-hour, Days

The Claims Auditor performs various audits of claims payments and denials to ensure accuracy based on the DOFR, internal policies and procedures and regulatory requirements.

Required qualifications:

  • 3 years Claims processing experience in a managed care environment.

Preferred qualifications:

  • 1 year Claims Audit experience.

  • Experience processing Medicare or Medi-Cal/ One Care Connect claims.

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

About Providence

At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

Requsition ID: 106154
Company: Providence Jobs
Job Category: Claims
Job Function: Revenue Cycle
Schedule: Full time
Shift: Day
Career Track: Admin Support
Department: 7520 CLAIMS AUDITING CA HERITAGE SERVICES
Address: CA Anaheim 200 W Center St Promenade

Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.