Quality Assurance Auditor

Job Summary

A company is looking for an Auditor.

Key Responsibilities:

• Review and audit medical claims for accuracy and compliance with company policies
• Listen to customer service phone calls for accuracy and professionalism
• Provide feedback and coaching to claims and customer service staff on best practices and compliance issues

Qualifications:

• Minimum of 2 years of experience in customer service or claims processing, preferably in healthcare or employee benefits
• Strong knowledge of benefits plan design, auditing processes, and medical terminology
• Experience with ICD-10 and CPT coding
• Exceptional attention to detail and accuracy
• Ability to analyze issues and implement effective solutions