Claims Audit Analyst
WelbeHealth(25 days ago)
About this role
A Claims Audit Analyst at WelbeHealth supports the Health Plan Services team by ensuring accurate and compliant handling of claims for PACE participants. The role helps maintain payment integrity and compliance with federal and state regulations as well as provider agreements. The position contributes to high-quality care delivery for vulnerable seniors by safeguarding financial and operational accuracy within the health plan.
Required Skills
- Claims Review
- Audit Documentation
- Claims Adjudication
- Error Resolution
- Quality Improvement
- Provider Communication
- Medicare Claims
- Medicaid Claims
- Microsoft Excel
About WelbeHealth
welbehealth.comWelbeHealth is a full‑service senior health care provider that operates PACE (Program of All‑Inclusive Care for the Elderly) programs to deliver comprehensive, coordinated care for frail and vulnerable older adults. Its interdisciplinary teams deliver medical, behavioral, rehabilitative and social services — including primary care, nursing, therapy, home care, transportation and adult day services — so participants can remain safely and independently at home. The organization emphasizes quality, compassion and value while integrating Medicare and Medicaid benefits to manage care and costs for seniors.