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Description
MENU
Audit and Appeals Specialist
Work Location
Los Angeles,CA
Job #20310
Work Hours
Monday – Friday; 7:00 AM – 4:00 PM PST
Employment Type
2 – Staff- Career
Duration
Indefinite
Salary Range
$28.3-54.74 Hourly
Posted Date
November 5, 2024
Bargaining Unit
99
Apply as Internal/Current Employee
Make a difference in people’s lives every day. When you join UCLA Health, you’ll be working at an institution that provides leading-edge care to the people of L.A. and throughout the world. We provide our team members with the environment and support to do amazing work, because each and every one of them plays a vital role in our commitment to care.
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JOB DUTIES
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JOB QUALIFICATIONS
Description
Contribute to the success of a world-class healthcare organization by ensuring compliance in regulatory audits and appeals. Leverage your expertise to support UCLA Health’s commitment to accuracy and quality in claim processing.
As an Audit and Appeals Specialist, you will:
- Facilitate responses to regulatory audits related to billing, coding, and collection practices in compliance with federal and state guidelines
- Collect, analyze, and enter audit requests into relevant systems, distributing requests to necessary teams
- Monitor audit response and appeal statuses, tracking cases and maintaining updated records in various systems
- Review claim denials for clinical issues, prepare appeals, and manage each case’s resolution process
- Develop internal compliance controls, addressing billing standards, regulatory updates, and potential operational gaps
- Support reporting on audit trends, outcomes, and compliance initiatives
Join UCLA Health to uphold high standards in healthcare auditing and compliance, contributing to operational excellence.
Salary Range: $28.30 – $54.74 per hour.
MONICA
I've been blessed to touch so many lives through my serving. It's a privilege to uplift other employees with words of encouragement and a smile.
SOZIT
The first thing i noticed when i joined the team was how everyone is very welcoming and friendly with supportive management. I did not feel like an outsider.
EDGAR
Once I joined, I knew UCLA Health was THE place to be due to the growth potential and training offered