Claims Audit Analyst

A company is looking for an Analyst, Config Oversight. Key Responsibilities Conduct comprehensive end-to-end claim audits and validate data in claims and provider databases Analyze and interpret data to ensure accurate configuration and adherence to business requirements Document audit results, prepare findings reports, and present recommendations for improvements to management Required Qualifications Associate's Degree or equivalent combination of education and experience 2+ years of experience in comprehensive end-to-end claim audits Knowledge of provider contracting, network management, and claims processing systems Experience with claims processing system (QNXT) Strong proficiency in Microsoft applications including Excel, Word, and Outlook

Mar 27, 2025 - 05:55

A company is looking for an Analyst, Config Oversight. Key Responsibilities Conduct comprehensive end-to-end claim audits and validate data in claims and provider databases Analyze and interpret data to ensure accurate configuration and adherence to business requirements Document audit results, prepare findings reports, and present recommendations for improvements to management Required Qualifications Associate's Degree or equivalent combination of education and experience 2+ years of experience in comprehensive end-to-end claim audits Knowledge of provider contracting, network management, and claims processing systems Experience with claims processing system (QNXT) Strong proficiency in Microsoft applications including Excel, Word, and Outlook