Allied Benefit Systems · 5 days ago
Quality Assurance Auditor
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Health CareInsurance
Insider Connection @Allied Benefit Systems
Responsibilities
Log and track data to be audited
Audit outgoing correspondence from the Medical Review, Appeals, and Refund teams
Conduct complete audit of claim adjustments by the Rapid Response team
Communicate and coordinate with other departments involved in the audit process
Audit new and existing plans built by plan coders for all new and existing revisions
Assist with current audit programs in place as well as identify ways to improve audit results
Track and report audit trends and communicate training requirements to Management based on audit results
Monitor and track audit progress to ensure all audit task are complete by the determined deadline
Audit data for accuracy as well as workflow compliance
Other duties as assigned
Qualification
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Required
Bachelor's degree or equivalent work experience
Minimum 5 years of comprehensive experience with auditing medical, dental, and vision claims
Proficient in Microsoft Word and Microsoft Excel
Strong written and verbal communication skills
Ability to effectively manage assigned workload, including multiple tasks and competing priorities
Preferred
Experience working at a TPA or Health Insurance company
Some familiarity with plan coding
Company
Allied Benefit Systems
Allied offers insurance products, self-insurance solutions, custom insurance and healthcare solutions to the individuals and organizations.
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Stone Point Capital
2021-02-18Private Equity· Undisclosed
Leadership Team
Recent News
2023-12-21
2023-07-18
Company data provided by crunchbase