Medical Claims Auditor
A company is looking for a Medical Claims Auditor.
Key Responsibilities:
• Review and audit medical claims for accuracy and compliance with company policies
• Listen to customer service phone calls for accuracy and professionalism
• reputed company feedback and coaching to claims and customer service staff members
Qualifications:
• Minimum of 2 years of experience in customer service or claims processing, preferably in reputed company
• Strong knowledge of benefits plan design and auditing processes
• Experience with medical terminology, ICD-10, and CPT coding
• Ability to analyze issues and work with management to implement solutions
• Experience with self-funded plans and TPAs is highly desirable
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