Claims Quality Audit Representative

Job Summary

A company is looking for a Claims Quality and Audit Representative.

Key Responsibilities

• Validate and analyze claim data for accuracy using various resources
• Deliver objective quality review determinations and provide supporting documentation for audits
• Maintain tracking of daily tasks and achieve production and quality metrics

Required Qualifications

• High School Diploma / GED
• Must be 18 years of age or older
• 3+ years of professional work experience in the healthcare industry
• 1+ year of telecommuter experience
• Moderate proficiency with computers and Microsoft Excel and Outlook