Claims Compliance Coordinator

Job not on LinkedIn

November 15

🏄 California – Remote

Although this job is listed in California, this company may be open to hiring remote in other states.

💵 $20 - $30 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚔 Compliance

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Management Service Organization (MSO)

51 - 200 employees

Founded 2018

📋 Description

• Support the Claims Department by assisting with compliance audits, process reviews, and regulatory monitoring. • Identify compliance risks, track corrective action plans, and support training and reporting efforts. • Conduct internal claims audits and quality reviews for accuracy and adherence to policies and regulations. • Support audit scheduling, data collection, and documentation of audit findings. • Track and monitor corrective action plans and follow-ups for compliance issues. • Maintain and update claims compliance logs, audit reports, and reference materials. • Monitor state, federal, and client-specific regulatory requirements. • Collaborate with Claims and Compliance teams to communicate audit outcomes. • Assist in preparation of compliance summaries and reports for management review. • Support training and awareness initiatives on claims compliance requirements.

🎯 Requirements

• Associate or Bachelor’s degree in Business, Healthcare Administration, or related field preferred, or equivalent work experience. • 1–3 years of experience in claims processing, auditing, or compliance support required. • Basic understanding of claims operations and healthcare compliance standards. • Knowledge of HIPAA and general regulatory requirements preferred. • Strong attention to detail, accuracy, and organizational skills. • Proficiency with Microsoft Office Suite (Excel, Word, Outlook) and data entry systems. • Effective written and verbal communication skills. • Ability to prioritize multiple tasks and work independently in a fast-paced environment. • Commitment to maintaining confidentiality and professional integrity.

🏖️ Benefits

• 100% employer paid medical, vision, dental, and life coverage for employees. • Paid holiday, sick, birthday, and vacation time. • 401k matching plan. • Additional employee paid coverage options available.