Location: Remote
Compensation: To Be Discussed
Staff Reviewed: Fri, Apr 19, 2024
This job expires in: 8 days
Job Summary
A company is looking for a Senior Claims Auditor.
Key Responsibilities:
- Review claims for accuracy and compliance with contractual agreements
- Identify root causes of errors and collaborate with internal departments for resolution
- Prepare audit reports, monitor corrections, and assist in training claims examiners
Required Qualifications:
- 3+ years of medical claims auditing experience in HMO or IPA/Medical Group setting
- 5+ years of experience in examining medical claims, preferably Medicare claims
- Bachelor's degree in healthcare management or related field (preferred)
- Experience working with Provider Dispute and Appeals
- Proficiency in Microsoft Office programs and claims processing systems
