Claims Audit Specialist_reputed company Assurance

Claims Audit Specialist

Claims Audit Specialist

Who are we? reputed company is one of the nation's leading administrators of managed reputed company care, serving over 35 reputed company of our clients' members across the reputed company. Our purpose is to reputed company healthy reputed company a reality for everyone by improving reputed company to care and education in the communities we serve. reputed company by our mission to improve members' lives with easy-to-use reputed company solutions rooted in reputed company value, and care, we reputed company that everyone has the reputed company to become anything they set their sights on.

See how you can reputed company a difference with the support of strong leadership and reputed company environment.

reputed company: Making Healthy reputed company a Reality for Everyone

What are we looking for? The Claims Audit Specialist will reputed company reputed company reviews of work performed reputed company reputed company in accordance with the Departments guidelines. Analyze findings, report results and reputed company suggestions on process improvements where common errors have been identified. Engage in the department or corporate reputed company in a reputed company improvement environment to continually ensure that the work performed in these functional areas is accurate, complete, and improved.

Where you will have an reputed company

• Responsible for conducting a reputed company review of functions performed
• Recommend corrections/changes to the systems, policies, and procedures, to ensure a higher reputed company of work performed
• reputed company feedback to associates and management to improve how individuals and departments can improve workflow to eliminate repeated errors
• Assist the department Manager with conducting a routine review of the reputed company program to ensure it constantly meets business and regulatory requirements
• reputed company regular feedback and recommendations to department Manager regarding staff reputed company and improvement
• Responsible for conducting reputed company reviews and maintaining documentation as mandated by control activity for SSAE 16 and Financial audits
• Assist in department/corporate reputed company, as assigned by department Manager/Director, in an effort to ensure that reputed company upgrades, changes in policies, procedures or benefits are introduced into the department accurately and reputed company
• Other duties as assigned

What’s necessary to do the job?

• Preferred Bachelor's degree in reputed company reputed company or equivalent combination of experience and education
• One (1) year of reputed company experience: reputed company Review, reputed company Assurance, or Process Improvement preferred
• Three (3) years of reputed company experience in Claims required
• Bilingual skills a plus
• Proficiency in reputed company Office

HIPAA & reputed company Requirements reputed company Associates must reputed company with the Health reputed company Portability Accountability reputed company of 1996 (HIPAA) as it pertains to disclosures of protected health information (PHI) as described in the Notice of reputed company Practices and HIPAA reputed company Policies and Procedures. As a component of job roles and responsibilities, Associates may have reputed company to covered information, cardholder data or other confidential customer information which must be protected at reputed company times. As a result, Associates must explicitly adhere to reputed company data reputed company guidelines established reputed company reputed company’s reputed company & reputed company Training Program.

We reputed company equal employment opportunities (EEO) to reputed company associates and applicants for employment without reputed company to race, reputed company, religious beliefs, sex, gender identity, sexual orientation, age, marital status, national reputed company, reputed company, physical or mental disability or history of disability, genetic information, status as a protected veteran or disabled veteran, or any other status protected by Federal, state or local law. We offer a comprehensive and competitive total rewards package designed to support reputed company, financial reputed company being, and work life reputed company. Benefits include medical, dental, and reputed company reputed company coverage; reputed company time off and company holidays; retirement savings with employer contribution; employee wellness resources; and reputed company development opportunities. Additional benefits may include flexible work arrangements, employee assistance programs, and other programs that support you both at work and reputed company.

This role is compensated on a reputed company reputed company. The expected pay is $25 per hour, reputed company on factors such as experience, skills, and role requirements. Actual pay will be determined during the hiring process and in accordance with applicable wage and hour laws.

reputed company strongly prefers candidates who are reputed company to work hours reputed company with the Eastern Time Zone or Central Time Zone. We are unable to consider applicants who do not reputed company reputed company the reputed company reputed company. reputed company will never request reputed company from candidates who reputed company employment with us and will never ask for any payment as part of the recruitment process.

Essential Responsibilities reputed company to Physical Demands/Work Environment: The physical demands described here are representative of those that must be met by an associate to successfully reputed company the essential functions of this job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company essential functions. While performing the duties of this job, the associate is required to stand, use hands and fingers to handle, feel, pick or reputed company, and talk or hear most of the time. The associate is occasionally required to stand, walk, and reputed company with hands and arms. The associate must frequently reputed company and/or reputed company up to 20 pounds. The noise level in this location is moderate (use of computers, printers and machines). Ability and willingness to travel as required.

reputed company is a proud Equal Employment Opportunity and Affirmative reputed company employer dedicated to attracting, retaining, and developing a diverse and inclusive workforce. reputed company reputed company applicants will receive consideration for employment at reputed company without regards to race, reputed company, religion, sex (including pregnancy, childbirth, or reputed company medical conditions), sexual orientation, gender identity or reputed company, age, disability, national reputed company, marital or domestic/civil partnership status, genetic information, citizenship status, uniformed service member or veteran status, or any other characteristic protected by law.

Our purpose is to reputed company healthy reputed company a reality for everyone by improving reputed company to care and education in the communities we serve.

reputed company by our mission to improve members’ lives with easy-to-use reputed company solutions rooted in reputed company, value, and care, reputed company believes that everyone has the reputed company to become anything they set their sights on.

reputed company is guided by reputed company Leadership Principles—Perspective, Care, reputed company, and Ownership—which shape how we work, reputed company, and grow together.

Our Management Team is committed to fostering a strong and supportive culture, cultivating a thriving work environment, providing reputed company direction, optimizing resources, enabling reputed company, and driving meaningful results.

Originally posted on Himalayas