Remote Medical Claims Audit Coordinator II

Job Summary

A business process solutions company needs applicants for an opening for a Remote Medical Claims Audit Coordinator II.

Individual must be able to fulfill the following responsibilities:

• Coordinate responses with Operations Areas as needed
• Answer any POD enquire via phone call and email within established TATs
• Review and process files received in exception folders

Must meet the following requirements for consideration:

• High School Diploma
• Previous customer service or call center experience
• High level of integrity and confidentiality
• Solid knowledge of Microsoft Office necessary, especially Excel, Word, and Outlook
• 1 years' minimum experience working as a Claims Analyst or Claims Auditor in a managed care setting
• Able to make recommendations to improve and streamline processes to make more efficient