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Remote Internal Claims Auditor

Company: VirtualVocations
Location: Murfreesboro
Posted on: April 7, 2025

Job Description:

A company is looking for a Remote Internal Claims Auditor.
Key Responsibilities

Ensure compliance with client contract criteria and requirements while maintaining accuracy in claims processing
Conduct targeted audits of claims processing and quality audits of claims staff and system logic
Perform audits of new client setups in claims processing software and run access queries as needed

Required Qualifications

Minimum 3 years of experience in the healthcare or managed care industry, with claims/reimbursement experience
1-3 years of auditing experience in the healthcare industry
Advanced proficiency in Microsoft Office products, especially Word, Excel, and Access
Thorough understanding of federal, state, and local healthcare compliance requirements
Ability to work independently with minimal supervision and as part of a team

Keywords: VirtualVocations, Murfreesboro , Remote Internal Claims Auditor, Accounting, Auditing , Murfreesboro, Tennessee

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