Remote Claims Auditing Provider Engagement Encounter Analyst

Job Summary

A managed healthcare and benefits company is filling a position for a Remote Claims Auditing Provider Engagement Encounter Analyst.

Core Responsibilities of this position include:

• Analyzing complex encounter inbound/outbound process issues
• Performing root cause analysis
• Developing various reports

Qualifications Include:

• High School Diploma or GED
• 3-5 Years of Billing, Claims, and Encounter experience
• Able to audit claims to validate correct contract, provider and benefit configuration
• Able to analyze claims data and interact with Providers