We are seeking an individual who is dependable, flexible, able to multi-task, detail oriented and enjoys working in a fast-paced, technologically progressive team environment. Responsibilities|
You will perform internal audits of our Health and Welfare Claims Processors' work.
Design and implement training plans for claims processors.
Conduct training sessions for groups of new processors.
Train and cross-train on plan, system and procedural changes.
Respond to day-to-day referral questions.
Perform random and large dollar claims audits.
Prepare written follow-up materials.
Coordinate vendor interaction with specific PPOs and benefit providers.
Strong auditing and training skills required.
Strong organization and verbal and written communication skills required.
Must have a MINIMUM OF 5 YEARS' EXPERIENCE processing and auditing medical and dental claims.
Must be proficient with on-line claims processing systems.
Excellent benefits include medical, prescription, dental, vision, and 401K. Hours are 8:30 a.m. 5:00 p.m. Monday through Friday. Please submit salary requirements with cover letter and resume.