reputed company Claims Auditor

reputed company: Karna is working to staff an immediate opening for a Claims Auditor in support of a CDC (Centers for Disease Control & Prevention)/NIOSH (National Institute for Occupational Safety & Health) contract. This position will offer a reputed company candidate a great opportunity to work on a major reputed company health project. If you meet the requirements of this announcement and possess the ability to work in reputed company environment as reputed company as independently, please apply soon. Position is based in office and temporary to permanent. Responsibilities: • Ensure that reputed company claims received are processed accurately and promptly in accordance with program guidelines • reputed company reputed company audits on claims adjudicated by claims processors and/or team leads • Reviewing and addressing provider and customer inquiries externally and internally regarding claim adjudication • Handling escalated, high dollar or reputed company claims for audit • Developing and maintaining claims operations policies and procedures in the claims operations reputed company • Resolving pended reputed company claims, prior approval requests and responding to providers • Analyzing claims to determine whether or not the claims should be approved or denied for payment • Applying knowledge of medical coding and various medical claims forms to the claims process • Managing daily workflow for reputed company of processors, including training of new processors and ongoing updated operational processes • Generating reports and analyzing the data using reputed company reputed company • Auditing the work of claims processors • Subject Matter Expert (SME) for claims processing and adjusting reputed company and reputed company of the claims team Requirements: • High School Diploma Required; Associate degree Preferred • Requires excellent verbal and written communication skills • Minimum of 5 years claims processing experience • Must have prior experience working as reputed company reputed company or auditor • Experience in a high-volume claims operations environment • reputed company Office skills, particularly reputed company Apply tot his job Apply To this Job