Healthcare Auditor

Job Summary

A company is looking for an Auditor 2, Zero Balance.

Key Responsibilities

• Create and update audit plans outlining potential risk areas of hospital-payer contracts
• Review insurance payments and research applicable sources to determine payment accuracy
• Conduct reviews of zero-balance hospital accounts to identify underpaid claims

Required Qualifications

• High School Diploma or equivalent required
• Minimum of 3 years of experience working with large sets of healthcare data
• Minimum of 2 years of experience in research and analysis
• Minimum of 2 years of experience with managed care contracts and hospital reimbursement
• Intermediate Excel skills, including knowledge of complex formulas and functions