Medical Claims Auditor Professional
6 days ago
Estimated Salary: $65,000 - $90,000 per year
We are seeking a highly skilled Medical Claims Auditor to join our team at inAssist Healthcare Management Solutions / HealthLock. As a key member of our healthcare claims processing team, you will be responsible for reviewing complex medical claims, identifying discrepancies, and negotiating with insurance carriers and providers to reduce members' out-of-pocket healthcare costs.
Key Responsibilities:
- Review patient medical bills, correspondence, and Explanation of Benefits (EOBs) for errors
- Liaise with insurance carriers and providers to address identified issues
- Communicate with providers and carriers via phone and email, ensuring prompt and professional responses
Requirements:
- Background in medical billing or insurance claims administration
- 3-5+ years' experience in Medical Billing and Coding
- Strong critical thinking and problem-solving skills
- Proficiency in Explanation of Benefits (EOB) knowledge
Benefits:
- Extensive paid training
- Supportive team environment and advancement opportunities
- Comprehensive benefits, including medical, dental, vision, 401K, and life insurance
- Generous PTO and paid Holidays
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