Claims Auditor
4 weeks ago
MedPOINT Management seeks a skilled Claims Auditor to ensure the quality and accuracy of claims processes. This role involves auditing claims, researching issues, and providing feedback to improve processes.
Key Responsibilities:
- Audit claims to ensure compliance with regulations and contractual obligations.
- Research and resolve issues related to claims processing.
- Provide feedback and recommendations to improve processes.
- Collaborate with other departments to achieve organizational goals.
- Develop and implement policies and procedures to improve claims processing.
Requirements:
- High school diploma required.
- Three years of experience in managed care claims adjudication.
- Expertise in coding structure, ICD-9, ICD-10, CPT-4, and Revenue Codes.
- Strong organizational, analytical, and communication skills.
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