Claims Auditor
October 21
Description
• The Claims Auditor performs analysis and monitors trends identified through the audit process. • Ensure accurate and timely adjudication of claims. • Identify potential issues and recommend strategies for resolution. • Apply claim and/or inquiry processing experience to audit and analyze claims processing procedures and workflows.
Requirements
• Minimum Education: High School Diploma or Equivalent. BS/BA preferred. • Minimum Experience: Two to three (2-3) years previous experience as medical claims Auditor or 3-5 years previous experience examining medical Claims preferred. Preferably in an IPA, MSO, or Medical Group setting. • Req. Certification/Licensure: None
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