An AI agent that applies to roles like this on employers' own sites. 25 applications free, no card needed.
Posted over 15 days ago, so the role may have closed. Confirm on the employer's page when you apply, or see similar jobs.
Job Description
- Good Healthcare knowledge -Payer industry
- Preferred to perform claim audits in HRP or Facets applications to ensure accuracy and compliance.
- Able to do error analysis, RCA, and CAPA implementation to support accuracy improvement
- Handle rebuttals, feedback, and coaching to drive performance improvement.
- Prepare and maintain audit reports, dashboards, and error logs.
- Communicate audit findings effectively and collaborate with stakeholders for process improvements.
- Ensure adherence to SOPs, client requirements, and quality standards
Skills
AdjudicationQuality AuditQuality AssuranceFactQualityHealthcareAuditingClaims AdjudicationAuditAudit FindingsAudit ReportsAuditsCapaCapa ImplementationSopsQaIf a job posting appears fraudulent, asks for payment, contains misleading information, or violates our guidelines, please report it immediately. Our team will review it promptly, Jobaaj does not charge any fee from the applicants.
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