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Regulatory Compliance Specialist

Molina Healthcare of Illinois

Molina Healthcare is seeking a claims examiner to evaluate adjudication of claims to identify incorrect coding, abuse and billing irregularities. Responsibilities include managing a caseload, procuring medical records, making recommendations for investigations, and supporting process improvement within the claims department. The role emphasizes accuracy, attention to detail, and compliance with state regulations and company policies, with competitive compensation in the Orlando, FL area. #J-18808-Ljbffr

Vacancy posted 3 days ago
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