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Claims Compliance Coordinator

ComplianceComplianceFull TimeRemoteMid LevelTeam 51-200Since 2018H1B No SponsorCompany Site LinkedIn

Location

California

Posted

123 days ago

Salary

$20 - $30 / hour

Seniority

Mid Level

Associate Degree2 yrs expEnglish

Job 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.

Job 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.