Claims Auditor
$19.55 - $29.75 per hourUniversity Health
POSITION SUMMARY/RESPONSIBILITIES
Responsible for development and maintenance of claims auditing program for all lines of business to improve claims processing standards and to monitor the quality of service delivered to our customers. Identifies processor and phone representative training needs that can be used to improve performance. Requires knowledge of claims processing for HCFA and UB92 for both commercial and Medicaid programs and knowledge of CFHP claims payment processing system, Amisys.
EDUCATION/EXPERIENCE
High school diploma or equivalency is required. Minimum of five years experience in insurance, medical or managed care environment including two years of claim processing experience required. Previous auditing and/or Amisys experience preferred.
$57k
...personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day. Pharmacy Claims Auditor CPhT Do you have a CPhT certification? Would you like to audit pharmacy claims for accuracy? About the Role...ClaimsWork at officeLocal areaWork from homeFlexible hoursNight shift- ...Health is seeking a dedicated and detail-oriented Senior Integrity Auditor to join our Compliance team. This pivotal role is responsible... ...areas such as coding, billing, medical record documentation, claims, and clinical data. - Routinely review University Health’s revenue...Claims
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...and payment corrections. Reconcile payment batches, investigate discrepancies, and ensure accurate account balances. Review claims, monitor outstanding receivables, and complete billing follow-up. Research, correct, appeal, and track claim denials and rejections...ClaimsPermanent employmentFull timeMonday to Friday$45k - $60k
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