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University of California - Los Angeles Health

Senior Claims Resolution Specialist

los angeles, CA

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About this opportunity

University of California - Los Angeles Health lists this Senior Claims Resolution Specialist opportunity in los angeles, California. Review the employer’s description below for duties, qualifications and application requirements.

Job description

University of California Health in Los Angeles seeks a Claims Adjustment Specialist to analyze and process medical claim adjustments, ensuring accurate payments and compliance with CMS and DMHC guidelines. You will work on escalated claims, apply benefit plans and contracts, and communicate outcomes to providers and members.

The role emphasizes accuracy, documentation, and collaboration with internal stakeholders to resolve disputes and improve claims processing efficiency in a dynamic

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Worksite address

los angeles, CA, 90079, US

Who can apply

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