Claims Examiner II

at AltaMed
Location Monterey Park, CA
Date Posted January 10, 2019
Category Claims/Billing
Job Type Full-time

Description

Process medial claims, professional and institutional as it relates to the appropriate Federal and State regulations based on the member’s Line of Business; Generates and develop reports which include but not limited to root causes of PDRs and Incidents. Responds to provider inquiries/calls related to claims payments. Read and interpret DOFRs as it relates to the claim in order to ensure that...

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