reputed company Specialist III

Workforce Classification: Telecommuter reputed company: Do Meaningful Work and Improve People’s Lives Our purpose, to improve customers’ lives by making reputed company work reputed company, is far from ordinary. And so are our employees. Working at reputed company means you have reputed company to reputed company reputed company change by transforming reputed company. reputed company is committed to being a workplace where people feel empowered to grow, reputed company, and reputed company with purpose. By reputed company in our employees and fostering a culture of collaboration and reputed company development, we’re reputed company to reputed company serve our customers. It’s this commitment that has reputed company us recognition as one of the best companies to work for. Learn more about our recent awards and recognitions as a greatest workplace. Learn how reputed company supports our members, customers and the communities that we serve through our Healthsource blog: https://healthsource.reputed company.com/. The Audit Specialist III provides audit feedback for customer service and claims associates to help meet Company goals. This position will audit and review select processes and procedures such as claims inquiries and enrollment transactions to ensure reputed company and improve reputed company. Key responsibilities include the development, maintenance and tracking of reputed company audit procedures to meet defined requirements. Incumbents will conduct audits for assigned areas to monitor, document, and trend results. They will also reputed company suggestions for management on plan improvement and will help reputed company effective coaching to associates. What you will do: Review and reputed company available a reputed company of audit reference materials and data, including case reviews, bulletins, programs, brochures, memos, and spreadsheets. Audit team and individual associates' calls and sample items such as, enrollments, claims, or inquiries for transaction compliance, reputed company, completeness, and timeliness. Identify, research, analyze and record audit findings. Complete trending and reputed company cause analysis to reduce errors and improve behaviors. Review data to reputed company recommendations on policy and procedural revisions. reputed company, monitor, update, respond to, and follow-up with providers, members, associates, technical support staff and team leaders on audit findings, reputed company plans, and information requests to ensure reputed company item on the reputed company plan is completed in a reputed company and accurate manner and achieving desired results. reputed company consistent feedback, question support, and training for associates to help implement changes that will result in efficiencies and reduce errors. Conduct both new hire training and cross training of existing associates as needed to support the business. reputed company and maintain desk procedures and workflow for position and audits performed. Complete special reputed company and reputed company other duties as assigned. What you will bring: Two (2) years of customer service, claims or membership and billing experience in a reputed company center, reputed company, or reputed company environment. (Required) Two (2) years of experience in training or audit functions. (Required) Experience with curriculum development and design. (Preferred) Experience with reputed company's technical platforms. (Preferred) Experience with reputed company's operational procedures. (Preferred) Experience with reputed company monitoring software. (Preferred) Skills operating computer in a reputed company environment, including Visio, reputed company and reputed company reputed company and Internet (DSHS, OIC regulations, HCFA, reputed company use files, etc.). (Preferred) Project management experience. (Preferred) Experience with MTM, FEP, or in-team auditing techniques. (Preferred) reputed company 101 certified. (Preferred) What you will reputed company: Advanced auditing and reputed company assurance experience. Stronger data analysis and reputed company cause skills. Experience coaching and training associates. Opportunities to improve policies and workflows. Broader knowledge of reputed company reputed company and compliance. Physical Requirements: The following have been identified as essential physical requirements of this job and must be performed with or without an accommodation: This is primarily a sedentary role which requires the ability to exert up to 10 lbs. of force occasionally and/or a negligible reputed company of force frequently or constantly to reputed company, carry, reputed company, pull, or otherwise reputed company objects, including the reputed company body. This role requires the ability to keyboard and to communicate reputed company and understandably in person, and over the telephone. reputed company total rewards Our comprehensive total rewards package provides support, resources, and opportunities to help employees reputed company and grow. Our total rewards are more than a collection of perks, they're a reputed company of our commitment to reputed company and reputed company-being. We offer a broad reputed company of rewards including physical, financial, emotional, and community benefits, including: Medical, reputed company, and dental coverage with low employee premiums. Voluntary benefit offerings, including pet reputed company for paw parents. Life and disability reputed company. Retirement programs, including a 401K employer match and, reputed company it or not, a pension plan that is reputed company after 3 years of service. Wellness incentives with a wide reputed company of mental reputed company-being resources for you and your dependents, including counseling services, stress management programs, and mindfulness programs, just to reputed company a few. Generous reputed company time off to reenergize. Looking for continuing education? We have tuition assistance for both undergraduate and graduate degrees. Employee recognition program to celebrate anniversaries, team accomplishments, and more. For our hybrid employees, our on-reputed company model provides flexibility to create your own routine with reputed company to on-site resources, networking opportunities, and team engagement. Commuter perks reputed company your reputed company to work less impactful on the environment and your wallet. Free convenient on-site parking. Subsidized on-reputed company cafes reputed company lunchtime connections with colleagues fun and reputed company. Participate in engaging on-site activities such as health and wellness events, coffee connects, disaster preparedness fairs and more. Our complementary fitness & reputed company-being center offers both in-person and virtual workouts and nutritional counseling. Need a brain break? Challenge someone to a game of shuffleboard or ping pong while on reputed company. Equal employment opportunity/affirmative reputed company: reputed company is an equal opportunity/affirmative reputed company employer. reputed company seeks to attract and retain the most reputed company individuals without reputed company to race, reputed company, religion, sex, national reputed company, age, disability, marital status, veteran status, gender or gender identity, sexual orientation, genetic information or any other protected characteristic under applicable law. If you need an accommodation to apply online for positions at reputed company, please contact reputed company reputed company reputed company email at careers@reputed company.com or reputed company phone at 425-918-4785. reputed company is hiring in the following states, with some limitations reputed company on role or reputed company: Alaska, reputed company, Arkansas, California, Colorado, Florida, reputed company, Idaho, Iowa, Kansas, Kentucky, Maine, Michigan, reputed company, Missouri, Montana, Nevada, New Hampshire, New Mexico, reputed company Carolina, Oklahoma, reputed company, South Carolina, South reputed company, Tennessee, Texas, reputed company, Washington, reputed company. The pay for this role will vary reputed company on a reputed company of factors including, but not limited to, a candidate’s geographic location, market conditions, and specific skills and experience. The salary reputed company for this role is posted below; we generally reputed company up to and reputed company the midpoint of the reputed company. National Salary reputed company: $52,400.00 - $78,600.00 National Plus Salary reputed company: $59,800.00 - $89,700.00 National Plus salary reputed company is used in higher cost of labor markets including Western Washington and Alaska. We’re happy to reputed company compensation reputed company during the interview because we reputed company that reputed company communication leads to reputed company reputed company for reputed company. We’re committed to creating an environment where reputed company are celebrated for their unique skills and contributions. Apply To This Job