Claims Auditor- Remote

Claims Auditor position at American Health Plans, a division of American Health Partners Inc. The position involves conducting pre-pay and post-pay audits to ensure accurate claims payments and denials, and working closely with delegated claim processor to ensure errors are reviewed and corrected prior to final payment.

Requirements

• Proficient in processing/auditing claims for Medicare and Medicaid plans
• Strong knowledge of CMS requirements regarding claims processing
• Current experience with both Institutional and Professional claim payments
• Knowledge of automated claims processing systems

Benefits

• Affordable Medical/Dental/Vision insurance options
• Generous paid time-off program and paid holidays for full time staff
• TeleMedicine 24/7/365 access to doctors
• Optional short- and long-term disability plans
• Employee Assistance Plan (EAP)
• 401K retirement accounts
• Employee Referral Bonus Program