New York Auditing Clerk

Job Summary

A company is looking for an Auditing Clerk to support pharmacy claim review activities.

Key Responsibilities

• Review recently processed pharmacy claims for accuracy and compliance
• Examine prescription records and related documentation to identify irregularities
• Document audit findings and escalate discrepancies or suspected fraud for further review

Required Qualifications

• At least 2 years of experience in auditing, claims review, or pharmacy operations
• Working knowledge of prescription documentation standards and recordkeeping requirements
• Ability to analyze claim details and identify inconsistencies in billing and records
• Experience with healthcare or operational audits with a high degree of accuracy
• Familiarity with fraud detection concepts is strongly preferred