Title: Medicare Claims Auditor

Anticipated Start Date: 04/17/2023 (Pay Rate -$25/Hr)

Anticipated End Date: 10/09/2023

Location: Franklin, TN USA 37064 (Hybrid work model 2 days in the Franklin office.(Tuesday & Wednesday)

Description:

• Key Responsibilities: Required to be located in TN; Hybrid work model 2 days in the Franklin office. (Tuesday & Wednesday)
• 1 + years Medicare Supplement Claims processing/ audit experience. Claims audit reviews to ensure proper claims adjudication. Review and assesses appropriateness of document changes in accordance with internal procedures as well as state regulations.
• Contributes to reviewing claims for adequacy of root cause, corrections, corrective actions, preventive actions and effectiveness. Must be excellent problem solver and proactive solution seeker. Ability to work in a fast paced environment. Worked in a previous production environment. Excellent attention to detail; sound judgment; initiative and flexibility. Strong interpersonal communication and relational skills. Excellent verbal and written skills, ability to interact within all levels of organization

Experience

• 1 + years Medicare Supplement Claims processing/ audit experience. Worked in a production & quality metrics environment. Ability to work in a fast paced environment. Must be excellent problem solver and proactive solution seeker. Must have excellent attention to detail; sound judgment; initiative and flexibility. Strong interpersonal communication and relational skills. Excellent verbal and written skills, ability to interact within all levels of organization. Experience and proficiency using Microsoft Office software, including intermediate proficiency using Word and intermediate to advanced experience using Excel. Knowledge of Microsoft Outlook and Teams

Position Summary

• Key Responsibilities: Claims Medicare Supplement Auditor providing quality audit reviews to manual processors as well as system adjudication reviews regarding Medicare Supplement claims. Communicate to impact. Team collaboration.

Education

• High School diploma, G.E.D. or equivalent experience

Job Type: Contract

Salary: $24.00 - $25.00 per hour

Schedule:

• 8 hour shift
• Monday to Friday

Experience:

• Medicare: 2 years (Required)

Work Location: On the road

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