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Remote Senior Health Claim Quality and Audit Representative

Company: VirtualVocations
Location: Sunnyvale
Posted on: June 20, 2022

Job Description:

A managed healthcare and insurance company is searching for a person to fill their position for a Remote Senior Health Claim Quality and Audit Representative.

Individual must be able to fulfill the following responsibilities:
Review, research, investigate, and audit Medicare and Retirement claims
Analyze and identify trends and provide feedback
Engage in team discussions/activity to resolve complex audit scenarios
Qualifications for this position include:

High School Diploma / GED (or higher)
2+ years of experience consistently utilizing Cosmos and CPW/CPA
2+ years of experience in M&R Cosmos Claims
Experience with computer and Windows PC applications
Ability to navigate and learn new computer system applications
A strong understanding of Physician processing functionality

Keywords: VirtualVocations, Sunnyvale , Remote Senior Health Claim Quality and Audit Representative, Healthcare , Sunnyvale, California

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