Claims Auditor

The Opportunity

The Healthcare Claims Auditor will be responsible for creating and maintaining audit procedures, auditing internal company departments, claims, payments, and statements. The Healthcare Claims Auditor serves clients, employers and members. This individual will collaborate with all departments to increase revenue and decrease expenses.

What you’ll do

• Conduct Claims and Statement audits
• Provide audit results for Senior Management
• Audit a percentage of third-party administrator claims and provide feedback
• Provide feedback to Management and Staff regarding auditing results
• Work with department heads to create and develop company audit procedures for all business units
• Create audit procedures for medical/dental claims
• Other projects assigned

What we expect from you

• Bachelor’s degree or equivalent experience
• Minimum of 5 years claims processing experience
• Detail oriented with excellent written and verbal communication skills
• Ability to multi-task and prioritize
• Training/Auditing experience preferred
• Ability to provide constructive feedback on results
• Software: Must be proficient in Excel, Outlook, Word, PowerPoint, and the Ability to learn new systems

We make healthcare EZ!

Additional Opportunity Details:

Target Base Compensation Range for this role is $22.00-25.00/hr.*

• Factors that may be used to determine your actual salary include your job specific skills, education, training, job location, number of years of experience related to this role and comparison to other employees already in this role.

Employee benefits are part of the competitive total rewards package that HealthEZ provides to you. Our comprehensive benefits program includes health benefits, retirement plan (401k), paid time away, paid leaves (including paid parental leave) and more.

HealthEZ recognizes its responsibilities under federal, state, and local laws requiring non-discriminatory employment practices. All employment decisions, practices and procedures will be carried out without regard to race, color, creed, religion, sex (including pregnancy), sexual orientation, national origin or ancestry, age, marital status, disability, family status, status with regard to public assistance, or any other characteristic protected under applicable local, state, and federal laws.

HealthEZ is proud to be an equal opportunity employer.