Claims Audit Analyst jobs in United States
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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
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H1B Sponsor Likelynote

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

Medicare claims processingMedicaid claims processingClaims auditingMicrosoft ExcelDocumentation skills

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

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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 Stage
Total Funding
$61.23M
2020-02-10Series C· $30M
2018-06-29Series B· $15M
2017-02-08Series A· $15M

Leadership Team

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Si France
Founder & CEO
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Becca Miller Rose
Chief Operating Officer
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Company data provided by crunchbase