Claims Audit Analyst

📋 Description

• Review processed claims for accuracy prior to payment.
• Document audit findings and discrepancies.
• Move error-free claims through adjudication; return errors for corrections.
• Provide feedback to Oversight & Monitoring Manager on errors and improvements.

🎯 Requirements

• 3+ years auditing Medicare and Medicaid professional, institutional, and dental claims.
• CMS and Medicaid claims experience preferred.
• Proficient in Microsoft Excel and Office applications.

🎁 Benefits

• Salary range: $68,640 - $77,519 USD per year; Bonus + Equity
• 401k match and comprehensive benefits.
• Medical, dental, and vision coverage from day one.
• 17 PTO days, 12 holidays, and sick time.
• Advancement opportunities through internal promotions.