Claims Auditor

HealthEZEdina, MN
7d$22 - $25

About The Position

HealthEZ is seeking a Healthcare Claims Auditor who is responsible for creating and maintaining audit procedures, auditing internal company departments, claims, payments, and statements. The Healthcare Claims Auditor will serve clients, employers and members. This individual will collaborate with all departments to increase revenue and decrease expenses.

Requirements

  • Bachelor’s degree or equivalent experience
  • Minimum of 5 years claims processing experience
  • Detail oriented with excellent written and verbal communication skills
  • Ability to multi-task and prioritize
  • Software: Must be proficient in Excel, Outlook, Word, PowerPoint, and the Ability to learn new systems

Nice To Haves

  • Training/Auditing experience preferred
  • Ability to provide constructive feedback on results

Responsibilities

  • Conduct Claims and Statement audits
  • Provide audit results for Senior Management
  • Audit a percentage of third-party administrator claims and provide feedback
  • Provide feedback to Management and Staff regarding auditing results
  • Work with department heads to create and develop company audit procedures for all business units
  • Create audit procedures for medical/dental claims
  • Perform other tasks as assigned

Benefits

  • Employee benefits are part of the competitive total rewards package that HealthEZ provides to you. Our comprehensive benefits program includes health benefits, retirement plan (401k), paid time away, paid leaves (including paid parental leave) and more.
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