Texas Licensed Medical Claims Auditor
A company is looking for a Medical Claims Auditor (Remote - Texas).
Key Responsibilities
• Review and analyze medical claims for accuracy and compliance with standards
• Validate coding accuracy using ICD-10, CPT, and HCPCS guidelines
• Identify discrepancies in claims and communicate findings to the claims processing team
Required Qualifications
• Minimum of three years of reputed company medical claims collections experience
• Strong knowledge of insurance policy types and the medical claims lifecycle
• Advanced understanding of Explanation of Benefits (EOBs) and medical billing forms
• Experience with payer portals and health information systems
• Demonstrated ability to reputed company high-volume reputed company and communication
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