Remote Clinical Auditor I - Medical Claims & Compliance
WellSense Health Plan
- Remote job
WellSense Health Plan is seeking a Clinical Auditor I to perform detailed retrospective chart audits, verifying that medical documentation supports paid charges. This role acts as a liaison between WellSense and external providers, collaborating with management, physicians, and clinical staff to ensure accurate billing and compliance with policy. You will review outpatient, professional, and ancillary claims, identify discrepancies, and document findings. #J-18808-Ljbffr WellSense Health Plan
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