Job Description
Our Client, a Health Insurance company, is looking for a Healthcare Claims Auditor II for their Detroit, MI location. Responsibilities:
+ Support audit coordination for group customer accounts requesting claims accuracy reviews.
+ Responsibilities include managing inbound audit requests, coordinating documentation and issue tracking.
+ Will facilitate communication between customers and operational teams.
Requirements:
+ The ideal candidate is detail-oriented, comfortable navigating complex claims data and experienced in medical claims.
+ Familiarity with medical claims or benefits (MA or Commercial)
+ Knowledge of CMS rules and regulations
+ Strong Project Management
+ Knowledge of medical claims or benefits (MA or Commercial)
+ Strong Communication Skills
+ Project management Skills
+ Knowledge of IKA or NASCO claims processing systems
+ Exper...
+ Support audit coordination for group customer accounts requesting claims accuracy reviews.
+ Responsibilities include managing inbound audit requests, coordinating documentation and issue tracking.
+ Will facilitate communication between customers and operational teams.
Requirements:
+ The ideal candidate is detail-oriented, comfortable navigating complex claims data and experienced in medical claims.
+ Familiarity with medical claims or benefits (MA or Commercial)
+ Knowledge of CMS rules and regulations
+ Strong Project Management
+ Knowledge of medical claims or benefits (MA or Commercial)
+ Strong Communication Skills
+ Project management Skills
+ Knowledge of IKA or NASCO claims processing systems
+ Exper...