The Claims Recovery Examiner is responsible for reviewing, requesting, and maintaining accurate records of claim refunds using various software tools. They also coordinate with multiple departments to investigate overpayments, reconcile bank transactions, and prepare financial reports.
The Accountant assists with overall financial operations, including billing, collections, and financial analysis. They are responsible for maintaining accurate financial records, managing cash deposits, and performing general ledger postings.
The Claims Examiner III is responsible for the accurate adjudication and processing of complex Medi-Cal managed care claims while serving as a subject matter expert. This role involves identifying processing issues, performing root cause analysis, and ensuring adherence to state and federal regulatory standards.
