Claims Auditor jobs in United States
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HealthEZ ยท 4 days ago

Claims Auditor

HealthEZ is seeking a Healthcare Claims Auditor who is responsible for creating and maintaining audit procedures, auditing internal company departments, claims, payments, and statements. The Healthcare Claims Auditor will collaborate with all departments to increase revenue and decrease expenses.

Health CareInsurance

Responsibilities

Conduct Claims and Statement audits
Provide audit results for Senior Management
Audit a percentage of third-party administrator claims and provide feedback
Provide feedback to Management and Staff regarding auditing results
Work with department heads to create and develop company audit procedures for all business units
Create audit procedures for medical/dental claims
Perform other tasks as assigned

Qualification

Claims processing experienceAudit procedures developmentTraining/Auditing experienceSoftware proficiencyDetail orientedMulti-taskingPrioritizationConstructive feedbackWritten communicationVerbal communication

Required

Bachelor's degree or equivalent experience
Minimum of 5 years claims processing experience
Detail oriented with excellent written and verbal communication skills
Ability to multi-task and prioritize
Ability to provide constructive feedback on results
Software: Must be proficient in Excel, Outlook, Word, PowerPoint, and the Ability to learn new systems

Preferred

Training/Auditing experience preferred

Benefits

Health benefits
Retirement plan (401k)
Paid time away
Paid leaves (including paid parental leave)

Company

HealthEZ

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HealthEZ is an independent third-party administrator of employer-sponsored, self-funded medical plans.

Funding

Current Stage
Growth Stage
Total Funding
unknown
2020-07-07Acquired

Leadership Team

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Catherine Vanden Plas
Chief Operating Officer
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Jim Wachtel MBA
Chief Revenue Officer (CRO)
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Company data provided by crunchbase