Performing comprehensive audits of provider claims, the full-time Provider Reimbursement Auditor will analyze errors, validate audit observations, and ensure compliance with policies while working remotely. Key responsibilities Conduct quality audits of provider claims using various sources of information Analyze errors to determine root causes and assign appropriate responses Utilize audit software to document observations and validate responses for accuracy Required qualifications Associate's degree in a related field or equivalent experience 2+ years of medical or pharmacy claims processing or claims pricing experience Knowledge of Medicaid and Medicare reimbursement rules Familiarity with CPT/HCPCS Coding preferred Strong Excel skills and experience working remotely
Provider Reimbursement Auditor in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.