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Operations Analyst - Client Audit Coordinator - Remote

Posted 4 days ago
All others
Full Time
USA
23 - 35 USD/hour

Overview

The role of an Operations Analyst – Client Audit Coordinator involves managing external client audits and collaborating with cross-functional teams to analyze audit results and support overpayment recovery.

In Short

  • Manage external client audits from initiation through post-audit follow-up.
  • Research and respond to audit inquiries using internal resources.
  • Collaborate with various teams to resolve audit findings.
  • Analyze audit results and identify improvement opportunities.
  • Maintain accurate audit documentation.
  • Provide updates to Client Audit Managers.
  • Support overpayment recovery and claims adjustment reporting.
  • Contribute as a subject matter expert in team training sessions.
  • Work independently and manage competing priorities.
  • Utilize strong communication skills to lead discussions.

Requirements

  • High School Diploma or G.E.D.
  • 3+ years of claims processing experience.
  • 1+ years of experience using the Proclaim processing system.
  • Strong auditing and analytical skills.
  • Ability to manage multiple projects simultaneously.
  • Strong written and verbal communication skills.
  • Demonstrated problem-solving skills.
  • Experience with additional processing platforms is preferred.
  • Bachelor’s degree or equivalent experience is preferred.

Benefits

  • Comprehensive health-related benefits starting day one.
  • 401(k) and company-paid life insurance.
  • Tuition reimbursement.
  • Minimum of 18 days of paid time off per year.
  • Paid holidays.

MDLive

MDLive

520 eviCore healthcare MSI, LLC, a part of Evernorth Health Services and The Cigna Group, is dedicated to creating innovative pharmacy, care, and benefit solutions aimed at improving health and enhancing vitality. The company focuses on making healthcare more accessible through expert medical reviews and clinical services, ensuring that patients receive the necessary care while adhering to utilization management standards. With a commitment to continuous improvement and support for healthcare professionals, 520 eviCore healthcare MSI, LLC plays a vital role in the healthcare ecosystem, driving growth and improving lives.

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