Claims Compliance Auditor
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About The Position
As a Claims Compliance Auditor, you will play a critical role in safeguarding the financial integrity and regulatory compliance of Inland Empire Health Plan's claims payment system and processes. Your attention to detail, analytical skills, and commitment to excellence will ensure the accuracy, compliance, and efficiency of claims processing within the organization. By meticulously reviewing claims data, policies, and procedures to identify discrepancies, errors, and potential areas for improvement you will be ensuring that IEHP's providers receive accurate reimbursement for services rendered, ultimately contributing to the delivery of high-quality healthcare services to our members. Commitment to Quality: The IEHP Team is committed to incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.
