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Claims Auditor
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$46.6 an hour
Full-time
- Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
- Referral services for child, elder and pet care, home and auto repair, event planning and more
- The Auditor primary function is to ensure examiner payment accuracy of all claims processing including analysis of support services fulfillment colleagues’ workflow and activities.
- Perform concurrent and retrospective review of paper & electronic claims processed and office services fulfillment team Optical Character Recognition (OCR), clearinghouse and mail interface vendor activities’ performance at all levels.
- Subject Matter Expert (SME) in medical claims processing at health plan payor, Managed Services Organization (MSO), Health Maintenance Organization (HMO) and/or Independent Practice Association (IPA) organization
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