Claims Medicare Supp Auditor - Hybrid TN
Claims Medicare Supplement Auditor providing quality audit reviews to manual processors as well as system audit reviews regarding Medicare Supplement health claims. Communicate to impact. Team collaboration.
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.
The typical pay range for this role is:
Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.
Required to be located in TN; Hybrid work model 2 days in-office required
Tuesday & Wednesday onsite required
1 + years Medicare Supplement Claims processing/ audit experience.
1 year Call Center and/ or production based environment
1+ years Medicare Supplement or related Health insurance experience in claims/ processing/ audit environment that reflects a proven track record or proficiency in the competencies noted. Basic Microsoft Outlook, Microsoft Teams experience helpful. Excel. Intermediate/Advanced proficiency in office technology.
High School diploma, G.E.D. or equivalent experience
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