Job Summary
A business process solutions, operations management, and analytics consulting company is in need of a Remote Housing and Community Development Auditor III.
Core Responsibilities of this position include:
- Auditing claims with HCD charges and reimbursement against physician orders
- Writing clear concise audit result summaries
- Applying payer policy applicable to HCD
Skills and Requirements Include:
- Certified Pharmacy Technician experience, preferably in hospital pharmacy environment
- High school graduate
- Requires 3+ years of audit experience associated to HCD claims
- Possess strong organizational, project management, and analytical skills, with attention to detail
- Knowledge and expertise with commercial payer contracts, fee schedules, reimbursement terms, policies, and audit regulations
