Position:  Claims Auditor
Location:  Remote
Job Id:  468
# of Openings:  1

CLAIMS AUDITOR
 
POSITION SUMMARY
The claims auditor will be responsible for coordinating and completing audits as well as compiling and reporting results and trends accurately, appropriately, and timely.
 
ESSENTIAL FUNCTIONS
  • Logging/Tracking all Claims/Tasks to be audited
  • Audit for accuracy as well as workflow compliance; Release of appropriate claims using established workflows
  • Assist with all audit programs currently in place as well as identifying issues for future audit programs
  • Assist with other tasks as needed and identified by Claims Management
  • Monthly meetings with Claims Management to report on audit trends and training suggestions
  • Other duties as assigned
EDUCATION
  • High School Grad or GED required
 
EXPERIENCE AND SKILLS
  • At least 5 years of comprehensive experience with the processing or auditing of medical, dental and vision claims.
  • Auditing experience is preferred, but not required.
  • Must be proficient in the use of the Excel and Word programs
  • Excellent written and verbal communicate skills required.
 
COMPETENCIES
  • Job Knowledge
  • Time Management
  • Accountability
  • Communication
  • Initiative
  • Customer Focus
 
Physical Demand
This role requires long periods of typing, sitting, and computer work
 
WORK ENVIRONMENT
Remote
 

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Allied Benefit Systems, LLC