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Remote Internal Claims Auditor
A company is looking for a Remote Internal Claims Auditor. Key Responsibilities Ensure compliance with client contract criteria and accuracy in claims processing through internal audits Conduct targeted audits on various claims processing aspects, including high dollar payments and eligibility staff Run access queries and perform audits of new client setups in the claims processing software Required Qualifications Minimum 3 years of experience in the healthcare or managed care industry, specifically in claims/reimbursement 1-3 years of auditing experience in the healthcare sector Advanced proficiency in Microsoft Office, particularly Word, Excel, and Access Thorough understanding of federal, state, and local healthcare compliance requirements Bachelor's degree in healthcare informatics, business administration, or related field is preferred
A company is looking for a Remote Internal Claims Auditor.
Key Responsibilities
Ensure compliance with client contract criteria and accuracy in claims processing through internal audits
Conduct targeted audits on various claims processing aspects, including high dollar payments and eligibility staff
Run access queries and perform audits of new client setups in the claims processing software
Required Qualifications
Minimum 3 years of experience in the healthcare or managed care industry, specifically in claims/reimbursement
1-3 years of auditing experience in the healthcare sector
Advanced proficiency in Microsoft Office, particularly Word, Excel, and Access
Thorough understanding of federal, state, and local healthcare compliance requirements
Bachelor's degree in healthcare informatics, business administration, or related field is preferred
