Remote Internal Claims Auditor
Company: VirtualVocations
Location: Vista
Posted on: May 26, 2025
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Job Description:
A company is looking for a Remote Internal Claims Auditor.
Key Responsibilities
Ensure compliance with client contract criteria and accuracy in
claims processing through internal audits
Conduct targeted audits on various claims processing aspects,
including high dollar payments and eligibility staff
Run access queries and perform audits of new client setups in the
claims processing software
Required Qualifications
Minimum 3 years of experience in the healthcare or managed care
industry, specifically in claims/reimbursement
1-3 years of auditing experience in the healthcare sector
Advanced proficiency in Microsoft Office, particularly Word, Excel,
and Access
Thorough understanding of federal, state, and local healthcare
compliance requirements
Bachelor's degree in healthcare informatics, business
administration, or related field is preferred
Keywords: VirtualVocations, Bellflower , Remote Internal Claims Auditor, Accounting, Auditing , Vista, California
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