Remote Insurance Claims Quality Audit Professional 2

Location: Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Puerto Rico, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming

Compensation: To Be Discussed

Staff Reviewed: Wed, Jan 06, 2021

This job expires in: 9 days

Job Category: Quality Assurance

Remote Level: 100% Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Education Level: Bachelors

Job Summary

A health insurance company has an open position for a Remote Insurance Claims Quality Audit Professional 2.

Core Responsibilities of this position include:

  • Performing quality audits on internal/vendor associates
  • Seeking audit clarifications where appropriate
  • Being the subject matter expert on the assigned processes

Qualifications Include:

  • Special Investigations Unit experience/Healthcare Fraud, Waste, Abuse Investigation
  • Ability to track and trend data and use findings to make recommendations
  • Must provide a high-speed DSL or cable modem for a workspace
  • Ability to handle multiple tasks simultaneously

COMPLETE JOB DESCRIPTION

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