Medical Claims Auditor
Company: VirtualVocations
Location: Lincolnwood
Posted on: November 14, 2024
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Job Description:
A company is looking for a Medical Claims Auditor to audit and
adjudicate stop loss insurance medical claims.
Key Responsibilities
Review and audit medical stop loss claim submissions against
relevant documents and standards
Compile periodic reporting for internal and external parties, and
advise on claim projections
Recognize and document trends in claims, providing ongoing feedback
for quality improvement
Required Qualifications and Education
High School Diploma or GED required; Bachelor's degree in Medical
Billing and Coding or related field preferred
5+ years of experience in medical claims administration;
understanding of Third Party Administration functions preferred
Knowledge of medical terminology required
Working knowledge of Microsoft Office products
Experience with self-quality monitoring and executing plans to meet
established goals
Keywords: VirtualVocations, Oak Park , Medical Claims Auditor, Healthcare , Lincolnwood, Illinois
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