Location: Remote
Compensation: To Be Discussed
Staff Reviewed: Wed, Sep 04, 2024
This job expires in: 26 days
Job Summary
A company is looking for a Claims Auditor.
Key Responsibilities:
- Review claims for accuracy and compliance with contractual agreements and guidelines
- Identify errors, root causes, and trends for process improvement
- Prepare audit reports, assist with training, and monitor corrections
Required Qualifications:
- 3+ years of medical claims auditing experience in HMO or IPA settings, preferably Medicare claims
- 5+ years of experience examining medical claims, preferably Medicare claims
- Bachelor's degree in healthcare management or related field is a plus
- Experience working with Provider Dispute and Appeals
- Proficiency in Microsoft Office programs and claims processing systems
