Claims Investigation Analyst

WelbeHealth(6 days ago)

Los Angeles, CA, United StatesOnsiteFull TimeSenior$82,000 - $100,000Claims Investigation

About this role

The Claims Investigation Analyst at WelbeHealth plays a vital role in examining claims to detect and prevent fraud, waste, and abuse. The role involves analyzing complex data, conducting investigations, and collaborating with stakeholders to ensure claims integrity, ultimately impacting care delivery for seniors.

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Required Skills

Data Analytics
Claims Processing
Investigation
Healthcare Compliance
Coding
Medicare
Medicaid
ICD
CPT
HCPCS

About WelbeHealth

welbehealth.com

WelbeHealth 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.

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