Health Claims Auditor I Non-Certified
Cherokee Nation•Tahlequah, OK
16h
About The Position
Verifies claims eligibility, reviews claims for accuracy and appropriateness of billing, coordinates third party benefits, prepares check requests, picks up and disburse checks, maintains records, tracks and prepares high cost cases for IHS reimbursement. Other duties as assigned.
Requirements
- High school diploma or general education degree (GED).
- At least two years experience in a related field.
- Knowledge of Accounting software; Database software; Internet software; Spreadsheet software and Word Processing software.
- Must possess a valid driver's license with a driving history verified through a motor vehicle report that meets the requirements for Cherokee Nation underwriting.
- Employee must not and will not be under sanction by the United States Department of Health and Human Services Office of the Inspector General (OIG) or by the General Services Administration (GSA) or listed on the OIG’s Cumulative Sanction Report, or the GSA’s List of Excluded Providers, or listed on the OIG’s List of Excluded Individuals/Entities (LEIE).
Responsibilities
- Verifies claims eligibility
- Reviews claims for accuracy and appropriateness of billing
- Coordinates third party benefits
- Prepares check requests
- Picks up and disburse checks
- Maintains records
- Tracks and prepares high cost cases for IHS reimbursement
- Other duties as assigned
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
Upload and Match Resume
What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
