Claims Auditor
hace 6 horas
POSITION SUMMARY/RESPONSIBILITIES Responsible for development and maintenance of claims auditing program for all lines of business to improve claims processing standards and to monitor the quality of service delivered to our customers. Identifies processor and phone representative training needs that can be used to improve performance. Requires knowledge of claims processing for HCFA and UB92 for both commercial and Medicaid programs and knowledge of CFHP claims payment processing system, Amisys. EDUCATION/EXPERIENCE High school diploma or equivalency is required. Minimum of five years experience in insurance, medical or managed care environment including two years of claim processing experience required. Previous auditing and/or Amisys experience preferred. #J-18808-Ljbffr
-
Senior Claims Auditor
hace 6 horas
San Antonio, Chile University Health System A tiempo completoA healthcare provider in San Antonio, Chile seeks a Claims Auditor to develop and maintain their claims auditing program. The role involves improving claims processing standards and monitoring service quality. Candidates should have at least five years of experience in an insurance or medical environment, with two years in claim processing. Knowledge of CFHP...
-
Senior Claims Auditor
hace 2 semanas
San Antonio, Chile University Health System A tiempo completoA healthcare organization in San Antonio, Chile, seeks a Claims Auditor responsible for developing and maintaining a claims auditing program. The role involves identifying training needs for processors and monitoring service quality. Candidates must have at least five years of experience in an insurance or managed care environment, with two years in claim...
