Claims Auditor

Job Summary

A company is looking for an Auditor in Claims.

Key Responsibilities:

• Perform analysis of prescriptions and other pharmacy related documentation to verify accuracy and validity of billed claims
• Research and analyze data related to pharmacy claims independently
• Identify and refer pharmacies with billing and/or documentation concerns to Special Investigations Unit for additional corrective action

Required Qualifications:

• High school diploma or GED
• Certified, Licensed, or Registered Pharmacy Technician
• Pharmacy technician experience
• Proficient in Microsoft Office and industry related software programs
• Ability to work extended hours, weekends, and holidays pursuant with industry demands