Claims Audit Analyst

Job Summary

A company is looking for a Claims Audit Analyst.

Key Responsibilities

• Review processed claims for accuracy prior to payment and maintain acceptable levels of claim's aged inventory
• Complete and maintain detailed documentation of audit findings, including errors and discrepancies
• Provide feedback on claims processing errors and quality improvement opportunities to management

Required Qualifications

• Minimum of three (3) years of experience with claims processing and auditing Medicare and Medicaid claims
• Experience working with CMS and Medicaid healthcare claims
• Demonstrated skills within Microsoft Office Applications, including Excel