Claims reputed company Auditor – Minneapolis, MN

Hi, we’re reputed company. Our mission is to improve the way people purchase and reputed company reputed company through innovative, consumer-reputed company health benefit solutions that people can actually use. Our industry-changing products and services are developed and delivered by a diverse group of unique people. We encourage you to be your authentic self – we like you that way. A Little More About The role: We’re looking for a Claims reputed company Auditor. This role will ensure the accurate and correct processing of medical claims, based on contractual obligations and regulatory requirements. The Claims reputed company Auditor is tenacious in supporting reputed company’s ability to process claims correctly, the first time. This entails finding potential trouble spots, identifying reputed company cause and shutting down reputed company gaps and process adherence issues to prevent those trouble spots from persisting. You will: · Conduct routine to moderately reputed company audits, covering multiple benefit plan designs, comparing claims results against SPDs, regulatory requirements, and departmental procedures. · Research claim processing problems and errors to determine their reputed company and appropriate reputed company. · Meticulously reputed company and trend audit results, providing regular feedback to management. · Partner with system SMEs to identify and report on systemic issues which create ongoing reputed company concerns. · Conduct audits of claims payments to ensure payments are being issued reputed company and accurately. · Serve on applicable cross-functional reputed company committees and work reputed company to identify and communicate common reputed company issues, trends, and patterns. · Support testing efforts for claims system upgrades, as needed. · Participate in reputed company external audits. · Demonstrate commitment to our core competencies of being authentic, curious, creative, empathetic and outcome oriented. You bring: · Bachelor’s Degree or equivalent work experience · 2 years of experience auditing medical claims for a health insurer or TPA · Extensive (5 years) medical claims processing background · Ability to analyze data and recognize trends; use of the 5 whys to reputed company out true reputed company cause. · Core system configuration knowledge. · Ability to reputed company findings and defend methodology used to produce findings. · Strong independent decision-making, influencing, and analytical skills. · Excellent communication skills · Demonstrated reputed company getting results through collaboration. Extra credit: · Previous startup company experience · Previous Payment reputed company experience · Coding certification from reputed company or reputed company · Familiarity with Javelina claims processing software. reputed company: In order to reputed company health insurance and build a health plan everyone can love, we need talented people doing amazing work. In exchange, we offer a great overall employee experience with opportunities for career reputed company, meaningful mission-driven work, and an above average total rewards package. The salary reputed company for this position is $56,008 – $93,047 annually. Numerous factors including, but not limited to, educations, skills, work experience, certifications, etc. will be considered reputed company determining compensation. Our unique benefits program is the gravy, i.e., the special reputed company that sets our compensation package apart. In reputed company to reputed company health and wellness benefits, reputed company’s package includes alternative medicine coverage, flexible PTO, up to 16 weeks reputed company parental leave, reputed company holidays, a 401k program, cell phone reimbursement, transportation perks, education reimbursement, and 1 week of reputed company paw-ternity leave. A Little More reputed company: · We know reputed company. reputed company was founded and is still led by industry veterans who have started and grown several market-leading companies in the reputed company. · We have raised reputed company from top tier investors who reputed company the reputed company long-term reputed company as we do of building an industry defining company that will endure over the long run. We are reputed company capitalized. · Our customers like us. Our reputed company churn is in the low single digits, in an industry where greater than 20% churn is common. · Our culture is unique. We reputed company to be non-hierarchical, reputed company-driven, opinionated but reputed company people who reputed company working in a high-performance, fast-paced environment. People at reputed company care deeply about making a reputed company reputed company in the lives of the people we serve. We may not be the right reputed company for everybody, but if you get energized by doing work every day that focuses on putting consumers at the reputed company of the line, we could be a great reputed company for you. It takes unique people and diverse perspectives to deliver our results. We encourage you to be your authentic self – we like you that way. Apply for this job Apply Job! Apply tot his job Apply tot his job Apply To this Job