Data Reconciliation Auditor

Our partner is looking for a Data Reconciliation Auditor position in Chicago, IL. This role involves evaluating and analyzing claims data, ensuring accuracy in batch loads, reporting error trends, and managing various batch/claim related processes and projects.

Responsibilities:

• Communicate and coordinate with internal staff involved in the audit process.
• Engage with external vendors regarding workflow/batch processes.
• Report errors/missed batches to the Management team daily for timely correction.
• Identify and investigate discrepancies during audits, directing them to relevant departments and vendors for resolution.
• Follow up to ensure discrepancies are appropriately addressed.
• Collaborate with internal resources to effectively resolve identified discrepancies.
• Obtain end-to-end understanding of workflows.
• Audit for accuracy and ensure workflow compliance.
• Develop reporting mechanisms for each department and audit process.
• Prepare monthly reconciliation reports for management.
• Conduct in-depth reviews of current criteria and program logic with Vee Technologies, including monthly reporting of audit results to vendors and weekly review of issues/corrections.
• Compile month-end reports of all audits performed by the Quality Assurance Team for monthly presentation to executive management.
• Project manager for all departmental projects.
• Evaluate and analyze data from multiple sources in a fast-paced environment.
• Audit returned mail.
• Audit ECSIF Output (EDI) on paper batches.

Physical Demands:

• Office setting with the ability to sit for long periods of time.

Work Environment:

• Remote.

Requirements

• Bachelor's degree or equivalent combination of education and experience.
• 1-3 years of experience in medical insurance claims.
• 1-2 years of experience in auditing.
• Strong analytical and problem-solving skills.
• Knowledge of computer systems.
• Proficiency in Word (Intermediate or greater), Excel (Intermediate or greater), Outlook (Intermediate or greater), and Microsoft Access (Advanced experience is a plus).