Healthcare Auditor - Springfield Massachusetts

Company: VirtualVocations
Location: Springfield, Massachusetts
Posted On: 11/20/2024

A company is looking for an Auditor 2 specializing in Zero Balance locations.



Key Responsibilities

Create and update audit plans to identify risk areas in hospital-payer contracts
Review insurance payments and research applicable sources to ensure payment accuracy
Conduct reviews of zero-balance hospital accounts to identify underpaid claims


Required Qualifications

High School Diploma or equivalent required
Minimum of 3 years of experience with large sets of healthcare data
Minimum of 2 years of experience with managed care contracts and hospital reimbursement
Minimum of 1 year of experience working with Medicare and Medicaid claims
Intermediate Excel skills, with knowledge of complex formulas and functions More...

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