WelbeHealth · 22 hours ago
Claims Audit Analyst
WelbeHealth is transforming senior care by providing comprehensive healthcare options for vulnerable populations. The Claims Audit Analyst is responsible for ensuring the accuracy of claims processing and compliance with regulations, while also identifying areas for quality improvement.
Health CareHealth DiagnosticsHospital
Responsibilities
Review processed claims for accuracy prior to payment while maintaining acceptable levels of claim’s aged inventory by verifying various aspects of the system and claim
Complete and maintain detailed documentation of audit findings which include decision methodology, system or processing errors, and monetary discrepancies
Move claims free of processing errors through for full adjudication and return claims with errors back to the claims team for corrections
Provide feedback to the Oversight & Monitoring Manager on claims processing errors, quality improvement opportunities, and configuration change requests, when applicable
Qualification
Required
Minimum of three (3) years of experience processing and auditing Medicare and Medicaid professional, institutional, and dental health insurance claims
Experience working with CMS and Medicaid healthcare claims highly preferred
Demonstrated skills within Microsoft Office Applications, including Excel
Benefits
Medical insurance coverage (Medical, Dental, Vision) starting day one of employment
Work/life balance – we mean it! 17 days of personal time off (PTO), 12 holidays observed annually, sick time
Advancement opportunities - We’ve got a track record of hiring and promoting from within, meaning you can create your own path!
401k match
Healthcare coverage
A broad range of other benefits
Company
WelbeHealth
Unlocking the full potential of our most vulnerable seniors with empathy and love.
H1B Sponsorship
WelbeHealth has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (1)
2024 (1)
2023 (2)
2022 (1)
2021 (2)
Funding
Current Stage
Late StageTotal Funding
$61.23M2020-02-10Series C· $30M
2018-06-29Series B· $15M
2017-02-08Series A· $15M
Recent News
2025-09-02
2025-07-08
2025-06-27
Company data provided by crunchbase