Remote Payment Integrity Auditor Claims Processor

Job is Expired

Location: Nationwide

Compensation: To Be Discussed

Staff Reviewed: Fri, Nov 26, 2021

Job Category: Business Operations

Remote Level: 100% Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Education Level: Bachelors

Job Summary

A senior healthcare company is seeking a Remote Payment Integrity Auditor Claims Processor.

Core Responsibilities of this position include:

  • Conducting claim audit reviews across multiple claim types and workflows
  • Documenting findings within audit tracking system in a thorough and objective manner and with high accuracy
  • Coordinating with clinical team for clinical validations audits

Applicants must meet the following qualifications:

  • 2-3 years experience in an auditor role with responsibilities across multiple Payment Integrity disciplines
  • 2-3 years experience processing claims across multiple claim types
  • Good knowledge of Medicare policies and claim and insurance terminology
  • Experience contributing to improvement of audit query concepts
  • Experience with performing root cause analysis of claim payment errors
  • Excellent ability to build and maintain positive relationships with business and 3rd party partners

COMPLETE JOB DESCRIPTION

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