Senior High‑Dollar Claims Auditor
Brighton Health Plan Solutions
Brighton Health Plan Solutions is seeking a High Dollar Specialist to review high dollar claims for accurate billing, pricing and adjudication. This role contributes to the Quality Department and collaborates with internal and external stakeholders. Responsibilities include verifying DRG accuracy, validating procedures and charge items, and developing reports to track high dollar claim data. The candidate should have 3–5 years of coding and claims experience and strong communication skills. #J-18808-Ljbffr Brighton Health Plan Solutions
- Brighton Health Plan Solutions, LLC is seeking a High Dollar Specialist to review high dollar claims for accurate billing, pricing and adjudication, supporting the Quality Department and coordinating with internal and external stakeholders. The role requires expertise in...Claims
- About the Role Brighton Health Plan Solutions is seeking a High Dollar Specialist to review high dollar claims for appropriate and accurate billing, pricing and adjudication. This individual will play a key in the Quality Department and interact with many internal and external...Claims
- About The Role Brighton Health Plan Solutions is seeking a High Dollar Specialist to review high dollar claims for appropriate and accurate billing, pricing and adjudication. This individual will play a key role in the Quality Department and interact with many internal...ClaimsFlexible hours
$122k - $162.7k
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