Remote Medical Claims Auditor

Job Summary

A company is looking for a Remote Medical Claims Auditor.

Key Responsibilities

• Ensure compliance with client contract criteria and requirements
• Perform targeted audits of claims processing and quality audits of staff
• Conduct audits of new client setups in claims processing software

Required Qualifications

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