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SalaryCLAIMS AUDITOR
POSITION SUMMARY
The Claims Auditor will be responsible for coordinating and completing audits as well as compiling and reporting results and trends accurately, appropriately, and timely.
ESSENTIAL FUNCTIONS
- Logging/Tracking all Claims/Tasks to be audited
- Audit for accuracy as well as workflow compliance; Release of appropriate claims using established workflows
- Assist with all audit programs currently in place as well as identifying issues for future audit programs
- Assist with other tasks as needed and identified by Claims Management
- Monthly meetings with Claims Management to report on audit trends and training suggestions
- Other duties as assigned
EDUCATION
- High School Grad or GED required
EXPERIENCE AND SKILLS
- At least 5 years of comprehensive experience with the processing or auditing of medical, dental and vision claims.
- Auditing experience is preferred, but not required.
- Must be proficient in the use of the Excel and Word programs
- Excellent written and verbal communicate skills required.
COMPETENCIES
- Job Knowledge
- Time Management
- Accountability
- Communication
- Initiative
- Customer Focus
Physical Demand
This role requires long periods of typing, sitting, and computer work
WORK ENVIRONMENT
Remote
