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Health Claims Audit Supervisor
Job
WithumSmith+Brown
San Ramon, CA (In Person)
$97,500 Salary, Full-Time
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Job Description
Health Claims Audit Supervisor WithumSmith+Brown
- 3.6 San Ramon, CA Job Details $85,000
- $110,000 a year 6 hours ago Benefits Vision insurance Qualifications Contract documentation review Contract review HIPAA compliance Health insurance policy knowledge Regulatory compliance in claims processing Contract interpretation Dental insurance HIPAA Disability insurance knowledge Vision insurance Insurance policy review Full Job Description Withum is a place where talent thrives
- where who you are matters. It's a place of endless opportunities for growth. A place where entrepreneurial energy plus inclusive teamwork equals exponential results. Explore different industries. Learn new skills. Connect with our diverse teams of professionals to gain insight into the career you envision. Your Career Starts with You. Experience the Transformative Power of Withum Plus You
- that's the Power in the Plus!
How You'll Spend Your Time:
Working closely with our clients, and their vendors, to ensure that health, dental, prescription and vision claims are being paid in compliance with regulations and plan documents Reviewing client's claims adjudication internal controls policies and procedures Completing audit workpapers documenting procedures, findings and conclusions within assigned budgets and deadlines The Kinds of People We Want to Talk to Have Many of theFollowing:
BS Degree Must be qualified at analyzing and interpreting group health insurance contract provisions and reviewing administrative policies and PPO contracts Experience working within a team environment Must be familiar with HIPAA and ACA compliance standards Must have a minimum of 3-5 years of health claims processing experience (internal auditing skills a plus) Good computer skills (Microsoft office preferred), excellent communication skills Ability to travel as needed based on client assignments The compensation range for this position is $85,000- 110,000.