4 claims analyst jobs at 1 company in Hesperia, CA
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Senior Payment Integrity Analyst
Rancho Cucamonga, California, United States
$91k-$121k/yrRemoteFull Time
Inland Empire Health Plan: Public health plan managing Medi-Cal, Medicare-Medicaid, and Covered California coverage for Riverside and San Bernardino County residents.
5+ YOERequires 5+ years in payment integrity, claims auditing, or medical coding; bachelor's degree in business or health administration; strong SQL, data analysis, coding, regulatory, and claims expertise.
Inland Empire Health Plan: Public health plan managing Medi-Cal, Medicare-Medicaid, and Covered California coverage for Riverside and San Bernardino County residents.
3+ YOERequires 3+ years in healthcare claims, billing, or auditing; bachelor's degree in healthcare, finance, or related field; SQL and Microsoft Office proficiency; coding and health insurance contract knowledge.
SQL, Microsoft Office Suite, Microsoft Excel, Microsoft Access, CPT, ICD-10, HCPCS, NDC, AI, DRG
Inland Empire Health Plan: Public health plan managing Medi-Cal, Medicare-Medicaid, and Covered California coverage for Riverside and San Bernardino County residents.
3+ YOERequires 3+ years in healthcare claims, billing, or auditing; bachelor's degree in healthcare, finance, or related field; SQL and Microsoft Office proficiency; coding, contract interpretation, analytics, and regulatory knowledge.
SQL, Microsoft Office Suite, Microsoft Excel, Microsoft Access, AI, CPT, ICD-10, HCPCS, NDC, DRG, CMS, DHCS, HEDIS, CAHPS, NCQA, CalPERS, 457(b)
Inland Empire Health Plan: Public health plan managing Medi-Cal, Medicare-Medicaid, and Covered California coverage for Riverside and San Bernardino County residents.
5+ YOERequires 5+ years in payment integrity, claims auditing, or medical coding; bachelor's degree in business or health administration; SQL and Excel proficiency; coding and healthcare regulations expertise.