This site uses cookies. To find out more, see our Cookies Policy

Claims Auditor in Franklin at Collabera

Date Posted: 8/11/2018

Job Snapshot

Job Description

• Review all monthly client adjustments
• Make sure that reference data is legible and accurate
• Learn and fully understand client systems, trending and test file processes, and the current production inventory portfolio
• Identify new trends and enhancements by comparing similar adjusted audit reasons to similar production cases
• Identify training opportunities within existing production cases
• Create and complete lead tickets and test files for client
• Review top denial reasons for training opportunities, potential rebuttals back to the client, and query enhancements
• Create action plan with summary and claim details to ensure that all reporting, training and priority recommendations are delivered to Operation Management
• Ensure that training is completed and feedback is received
• Ensure that all needed production queries are enhanced accordingly

Job Requirements

• kHigh School Diploma / GED (or higher)
• 1+ years of experience analyzing data and identifying cost saving opportunities
• Basic proficiency in math and thinking analytically and strategically
• Ability to work 40 hours weekly and overtime as business needs dictate
• Experience performing advanced analysis, formulas, data capture, charts, graphs, pivots and presentations with MS Excel
• Demonstrated ability to run and manipulate data from reporting application