The Opportunity

The Healthcare Claims Auditor will be responsible for creating and maintaining audit procedures, auditing internal company departments, claims, payments, and statements. The Healthcare Claims Auditor serves clients, employers and members. This individual will collaborate with all departments to increase revenue and decrease expenses.

 

What you’ll do

• Conduct Claims and Statement audits


• Provide audit results for Senior Management


• Audit a percentage of third-party administrator claims and provide feedback


• Provide feedback to Management and Staff regarding auditing results


• Work with department heads to create and develop company audit procedures for all business units


• Create audit procedures for medical/dental claims


• Other projects assigned