Claims Auditor - Remote

Overview

The Claims Auditor position at Banner Plans & Networks involves auditing claims for accuracy and compliance while working in a fully remote environment.

In Short

• Conduct random and specialized claims audits.
• Maintain knowledge of Medicaid, Commercial, and Medicare regulations.
• Utilize resources to validate audit parameters.
• Assist in developing work procedures and policies.
• Work independently with limited supervision.
• Strong communication skills required.
• Must have experience in claims processing.
• Remote work with minimal travel required.
• Monday-Friday work schedule in Arizona Time Zone.
• Comprehensive benefits package offered.

Requirements

• Two years of claims processing experience.
• Strong written and verbal communication skills.
• Proficiency in Microsoft Office software.
• In-depth knowledge of health plans.
• Ability to work independently and pay attention to detail.
• Familiarity with IDX Claims System preferred.
• Two years of experience with CMS1500 and UB forms preferred.
• Additional related education preferred.

Benefits

• Comprehensive benefits package.
• Remote work opportunities.
• Opportunity for career advancement.
• Collaborative work environment.
• Focus on innovation in healthcare.