Job Summary

A healthcare company has an open position for a Remote COB Claims Auditor.

Core Responsibilities Include:

• Reviewing leads completed by the COB analysts and automated work queues
• Determining which claims are eligible for recovery within the COB overlap period
• Recovering incorrectly paid or processed claims through the claims adjustment process

Required Skills:

• 4+ years experience in Revenue Cycle Management or Coordination of Benefits
• High School Diploma
• Familiarity with provider billing practices
• Experience in RCM, TPL, and/or COB for Medicaid and/or Commercial payers required
• Experience in determining primacy for coordination of benefits and NAIC guidelines
• Ability to work in a fast paced and team environment with a positive attitude