Remote Medical Claims Auditor

Job Summary

A company is looking for a Remote Medical Claims Processor.

Key Responsibilities

• Understand and comply with client contract criteria and requirements
• Perform audits on claims processing and staff to ensure accuracy and compliance
• Run access queries for administrative purposes and complete other assigned duties

Required Qualifications

• Minimum 3 years of experience in healthcare or managed care, with claims/reimbursement experience
• 1-3 years of auditing experience in the healthcare industry
• Advanced proficiency in Microsoft Office products, particularly Excel and Access
• Thorough understanding of federal, state, and local healthcare compliance requirements
• Bachelor's degree in healthcare informatics, business administration, or related field is preferred