Job Summary
A staffing agency is filling a position for a Remote Healthcare Claims Auditor.
Core Responsibilities of this position include:
- Determining whether the fee schedule on the provider file is interfacing accurately with the claim
- Uncovering fee schedule issues
Applicants must meet the following qualifications:
- Some initial travel for training
- 3+ years of recent medical claims post-payment auditing
- Online Medicaid fee schedule navigation experience
- Medicaid and Medicare background
- Experience reading and reviewing provider contracts and member plan benefits for auditing