Provider Configuration Auditor

Job Summary

A company is looking for a Provider Config Auditor.

Key Responsibilities

• Conduct quality assurance audits for provider configuration and track audit results
• Participate in implementation meetings and assist in improving processes and documentation
• Perform quality assurance testing on claims to ensure accurate configuration

Required Qualifications, Training, and Education

• Bachelor's degree or equivalent work experience
• At least 2 years of experience in the health insurance industry, preferably with knowledge in Facets and claims systems
• Strong proficiency in Microsoft Office applications and ability to type a minimum of 35 wpm
• Ability to analyze provider contracts and audit configurations accurately
• Experience with Facets and NetworX Pricer or similar health insurance systems