Claims Auditor
HealthEZ•Edina, MN
•Onsite
About The Position
The Healthcare Claims Auditor will be responsible for creating and maintaining audit procedures, auditing internal company departments, claims, payments, and statements. The Healthcare Claims Auditor serves 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
- Must be proficient in Excel, Outlook, Word, PowerPoint, and the Ability to learn new systems
Nice To Haves
- Training/Auditing experience preferred
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
- Other projects assigned
Benefits
- health benefits
- retirement plan (401k)
- paid time away
- paid leaves (including paid parental leave)
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Number of Employees
11-50 employees
