Auditor (Claims)

Job description

Job DetailsJob Location: Phoenix, AZ - Phoenix, AZ 85027Salary Range: $19.00 - $25.50 HourlyThe Claims Auditor is responsible for all audit activities for medical and/or dental claims while supporting the team manager to create, maintain and provide statistical audit reports and documentation. Responsibilities: Auditing & Reporting: Gain and maintain the understanding of the plan designs and effectively apply that knowledge. Maintain a comprehensive working knowledge of Policies, Procedures, Compliance Regulations, Schedule of Benefits and turnaround times across all product lines Research claim processing issues to determine the origin and appropriate resolution Prepare reports for management summarizing observations and recommendations Assist in testing system functionality during upgrades and implementations Teamwork: Work cooperatively with other team members Actively participate in team meetings and training activities. Perform additional responsibilities and projects as periodically assigned. QualificationsEducation/Certification: High School Diploma/GED Three (3) years recent experience analyzing medical claims Skills/Abilities: Ability to maintain production and quality sta...