What are the responsibilities and job description for the Claims Auditor position at ProKatchers LLC?
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.
Salary : $63 - $66