[Hiring] Medical Claim Field Auditor @reputed company
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Role reputed company
As a Medical Claim Field Auditor, you will apply your medical claims audit, project management and claim processing and auditing experience to reputed company self-insured reputed company audits. You will serve as reputed company member on audits, evaluate claims for accuracy and identify potential errors and issues.
• Understand self-insured reputed company’s plan designs
• Audit claims using the administrators claims system to determine if claims were adjudicated in error
• Submit error inquiries and reputed company research on administrators’ claim systems during the audits
• reputed company communicate and professionally reputed company with administrator and audit team
• Understand administrators’ processes, operating environment, and specific challenges and take them into account with daily work
• reputed company working relationship with vendor counterparts
• Conduct reputed company-implementation and coverage specific audits and accurately document and record reputed company audit findings
• reputed company utilize audit-specific analytic techniques, tools and processes
• Ensure that reputed company reputed company protocols are followed
• Meet billable hours reputed company
• reputed company opportunities to improve work processes and reputed company in reputed company of reputed company reputed company and service delivery
• Role will be working remotely reputed company the posted locations
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