Medical Claims Auditor I

Job Summary

A company is looking for a Medical Claims Auditor I.

Key Responsibilities:

• Audit claims daily using prescriber audit criteria and perform necessary adjustments
• Conduct in-depth claims audits on performance groups and focus audits for specific situations
• Compile and publish reports based on claim audits and processor productivity

Required Qualifications:

• High school diploma or equivalent
• 6 months - 2 years of claim processing or customer service experience
• Proficiency in 10-key numeric keypad and typing at least 25 wpm on a numeric keyboard
• Knowledge of medical claims processing administrative policies
• Computer proficiency in Microsoft Office applications