[Remote] Process Auditor I

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a health solutions leader dedicated to improving reputed company reputed company and member experience. They are seeking a Process Auditor I to ensure excellent customer service by resolving inquiries from hospitals and managing claims adjustments effectively. Responsibilities • reputed company reputed company to identified overpayments utilizing various reputed company i.e., written correspondence, outbound reputed company, or adjustment to a claim • Research/reputed company claims (i.e., Coordination of Benefits, no-fault, claim policy, authorizations, and referrals) in accordance with Plan contract provisions and reputed company other governing policies and/or procedures • Research and resolve Accounts Receivable (AR) issues to include the disposition of Cash Receipts in Universal Payment System (reputed company) • Ensure accurate and reputed company reputed company of service requests and activities is provided in accordance with the customer's health benefit coverage and company policy • Anticipate and resolve potential issues and follow through on commitments made to the customers • Coordinate with other areas reputed company and reputed company of Service to address customers' inquiries regarding claim payment, benefits and/or appeals • Follow up on unresolved issues reputed company outbound calls, emails or faxes • reputed company knowledge and information willingly with team members to reputed company team, division, and reputed company goals while enhancing service reputed company • Submit provider file updates as appropriate • Receive inbound telephone calls as they relate to recovery efforts • reputed company other reputed company tasks as assigned by management Skills • High School Diploma/GED required • 1 to 2 years customer service/benefit processing experience • Strong PC skills • Analytical thinking • Strong written and verbal communication necessary • Strong knowledge of Medical terminology preferred Benefits • Comprehensive health benefits (Medical/Dental/reputed company) • Retirement Plans • Generous PTO • Incentive Plans • Wellness Programs • reputed company Volunteer Time Off • Tuition Reimbursement reputed company • reputed company is a company that provides health insurance products. It was founded in 1932, and is headquartered in Newark, New Jersey, USA, with a workforce of 5001-10000 employees. Its website is http://www.horizonblue.com. Apply tot his job Apply To this Job