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Claims Auditor

Company: VirtualVocations
Location: Reno
Posted on: November 2, 2024

Job Description:

A company is looking for a Claims Auditor- REMOTE to support management in claims auditing programs.



Key Responsibilities

Review benefit plans to ensure accurate claims adjudication according to contracts
Document and report issues found during audits and assist in process updates
Train and mentor new auditors and act as a resource for the auditing team


Required Qualifications and Education

Minimum 1 year of health claims audit experience
GED or High School diploma required
Understanding of contracts and insurance principles related to claims adjudication
Experience with multiple claim processing systems
Knowledge of coordination of benefit guidelines

Keywords: VirtualVocations, Folsom , Claims Auditor, Accounting, Auditing , Reno, California

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