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Claims Auditor

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Medasource

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Job Title: Claims Auditor

Location: Remote

 

Job Description (What they will be doing):

·      Provide, document, and support with assigned leaders to training groups

·      Analyzing payments, procedures and guidelines of benefits

·      Interprets detailed paid claims reports, eligibility reports, payment reports, and other various reports to determine the eligible types of services.

·      Assures claims are adjudicated in a consistent and accurate manner.

·      Works closely with claims department to report issues and determine resolutions.

·      Reviews benefit plans to ensure that claims are being adjudicated accurately and consistently.

·      Audits claims for financial accuracy.

·      Responsible for documenting and reporting issues found.

·      Assists with the establishment and updating of processes and audit manuals.

Skillset needed:

·      Associate Degree

·      3+ years experience within a healthcare/auditing environment

·      FACETS experience

·      Experience working with Government programs

·      Detailed-oriented

·      Excellent verbal and written-skills

About Medasource:

Medasource is a leading Healthcare Technology solutions firm that enables clients to deliver on high-profile engagements by leveraging a proven network of expert consultants. We offer flexible human capital solutions and customized engagement models for projects of any shape and size. Our consultants support popular technologies for organizations including health systems, academic medical centers, and payers, as well as pharmaceutical, diagnostic, and device companies. Medasource offers more than 17 years of experience helping clients across the United States leverage new technology to improve care. We have over 175 clients in the healthcare industry, 5,000 consultants in the field, and delivery offices in 26 major US cities. We are a full service consulting firm that provides consultants with the following expertise: Cerner, Epic, MEDITECH, Allscripts, eClinicalWorks, Athena, PeopleSoft, Lawson, SAP, Workday, Kronos, Premier, Population Health Management/Analytics, Legacy Application Support, Project Management, Business Analysis, Application Integration Analyst, Clinical Education, Top Flight University Talent, Revenue Cycle, HIM, Pharma, Life Sciences, BioInformatics, Clinical Engineering.

Medasource provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, national origin, age, sex, citizenship, disability, genetic information, gender, sexual orientation, gender identity, marital status, amnesty or status as a covered veteran in accordance with applicable federal, state, and local laws.

Medasource provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, national origin, age, sex, citizenship, disability, genetic information, gender, sexual orientation, gender identity, marital status, amnesty or status as a covered veteran in accordance with applicable federal, state, and local laws.

JO-2104-110463

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