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Job Openings

Auditor

Job #: 17OS135
Department: Operations Support
Location: Tulsa
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Perform quality review on claims, enrollment, and member service personnel on select criteria determined by management. Audit personnel daily of randomly selected output and complete appropriate forms for manager/supervisor feedback. Will work closely with trainer on training needs identified through the quality review process.

REQUIRED QUALIFICATIONS

  • High school graduation required. Associates degree preferred.
  • Four years claim related processing experience.
  • One to two years quality review/auditing experience preferred.
  • Ability to read and have a clear understanding of claims processing manuals, medical terminology, CPT codes and perform claims processing procedures.
  • Knowledge of claims processing manuals and health benefit booklets.
  • Excellent interpersonal skills and the ability to work with individuals at all levels in the organization.
  • Successful completion of Health Care Sanctions background check
  • Ability to perform detailed math calculations.
  • Proficiency in the use of personal computers including claims processing software.
  • Familiarity of Excel preferred.
  • Access and Word experience preferred.
  • Self motivated with the ability to handle multiple tasks, work independently with minimal direction and meet stringent deadlines.
  • Ability to converse and write fluently in English.

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