Eligibility and Research Associate

A company is looking for a Hospital Bill Audit Eligibility and Research Associate. Key Responsibilities: Perform pre-audit and post-audit analysis of claims and client contracts to determine eligibility for HBA audits Utilize payer claim systems to verify payment accuracy and calculate overpayments due from providers Document outcomes of analyses and respond to operational inquiries related to claims Required Qualifications: High School Diploma / GED 1+ years of experience in medical claims processing, billing, collections, or contract analysis Understanding of payment methodologies and ability to calculate correct payment amounts Proficient in Microsoft Office Suite, including Word, Excel, and Outlook Must reside within Mainland USA and have the ability to work full-time, Monday - Friday

Apr 10, 2025 - 23:34

A company is looking for a Hospital Bill Audit Eligibility and Research Associate. Key Responsibilities: Perform pre-audit and post-audit analysis of claims and client contracts to determine eligibility for HBA audits Utilize payer claim systems to verify payment accuracy and calculate overpayments due from providers Document outcomes of analyses and respond to operational inquiries related to claims Required Qualifications: High School Diploma / GED 1+ years of experience in medical claims processing, billing, collections, or contract analysis Understanding of payment methodologies and ability to calculate correct payment amounts Proficient in Microsoft Office Suite, including Word, Excel, and Outlook Must reside within Mainland USA and have the ability to work full-time, Monday - Friday