Remote Healthcare Claims Auditor

Job ID: Available for Members

Location: Missouri

Compensation: To Be Discussed

Staff Reviewed: Thu, Sep 19, 2019

This job expires in 4 days

Job Category: Insurance, Investigations, Quality Assurance

Telecommute Level: Majority

Travel Requirements: Onsite Required, Some Travel

Employer Type: Staffing Agency

Career Level: Experienced

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