Claims Auditor/Trainer

Healthcare Claims Auditor/Trainer Job Summary: The Healthcare Claims Auditor/Trainer is responsible for ensuring the accuracy, compliance, and quality of claims processing across all lines of business. This role performs detailed audits, develops and delivers training programs, and provides operational leadership in the absence of Claims Managers or Supervisors. The position collaborates with internal departments and external providers to maintain high standards of adjudication, customer service, and regulatory compliance. Benefit Highlights: Loan Forgiveness Program Challenging and rewarding work environment Competitive Compensation & Generous Paid Time Off Excellent Medical, Dental, Vision and Prescription Drug Plans 401(K) with company match and discounted stock plan SoFi Student Loan Refinancing Program Career development opportunities within UHS and its 300+ Subsidiaries! Qualifications and Requirements: Minimum 35 years of experience in healthcare claims processing, auditing, or training. High school diploma or equivalent required; Associate or Bachelor's degree in healthcare administration, business, or related field preferred. Strong knowledge of medical terminology, coding, and regulatory guidelines (HIPAA, CMS). Excellent analytical and problem‑solving abilities. Strong communication and presentation skills for effective training delivery. Proficiency in claims processing systems and Microsoft Office Suite. Experience with Medicare claims processing and compliance required. QNXT system experience highly preferred. EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. #J-18808-Ljbffr