Claims Auditor

Job Summary

A company is looking for a Claims Auditor - On Demand.

Key Responsibilities:

• Review and interpret employer plans of health coverage and excess insurance policy for individual claims
• Audit submitted claim documents for data sufficiency and verify correct benefit payments
• Monitor weekly reserve and pend reports for accuracy and timely follow-up

Required Qualifications, Training & Education:

• Strong medical knowledge including ICD, CPT, medical terminology, COBRA, and HIPAA
• Ability to read and interpret documents such as Plans of Benefits and claim reports
• 4 Year/Bachelor's Degree in Business Administration or a related field, or equivalent experience
• 2 Years of relevant and progressive professional experience