Job Summary
A company is looking for a Quality Specialist to audit claims for accuracy and eligibility.
Key Responsibilities
- Audit pre and post payment claims for accuracy and eligibility transactions
- Identify errors and necessary corrective measures
- Participate in special audit assignments as needed
Required Qualifications
- 1+ years of experience working in a health care setting
- 6 months or more interpreting and understanding plan documents
- Knowledge of Microsoft Excel
- High school diploma or GED
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