Quality Assurance Auditor, Advanced (Healthcare Claims)

Your Role

The Medi-Cal Claims Operations team is responsible for ensuring claims are processed accurately and timely. The Quality Assurance Auditor, Advanced will report to the Medi-Cal Operations Manager. In this role you will be responsible for performing audits that are routine in nature for the Medi-Cal line of business for all claim types.

Your Knowledge and Experience

• Requires a high school diploma or GED
• Requires at least 5 years of prior relevant experience
• Minimum 5 years previous claims processing experience of all medical claim types
• Knowledge of DHCS guidelines preferred
• Prior auditing experience preferred

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