Aeroflow Health

Audit Specialist

Aeroflow Health

full-time

Posted on:

Location Type: Remote

Location: North Carolina • United States

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About the role

  • Support external healthcare claims audits, including pre-pay and post-pay audits
  • Coordinate and prepare timely audit responses, including medical records and supporting documentation
  • Participate in audit review cycles, including record requests, findings review, rebuttals, appeals, and recoupment processes
  • Review audit findings for consistency, accuracy, and alignment with applicable policies
  • Help identify trends, risks, and recurring audit issues across claims and business units
  • Partner with internal business units to gather information needed to support audits
  • Communicate audit findings clearly, including explaining where gaps exist and why audits may be failing
  • Work collaboratively with teams to identify what changes or controls need to be put in place to improve audit outcomes
  • Translate audit results into actionable insights that support front-end process improvement
  • Support ongoing audit readiness initiatives and internal monitoring efforts

Requirements

  • High school diploma or equivalent required; associate or bachelor’s degree preferred
  • 2–4 years of experience in healthcare claims auditing or a closely related area
  • Basic understanding of healthcare claims audits , including pre-pay and post-pay audit processes
  • Familiarity with the audit lifecycle, including record requests, findings review, appeals, and recoupment
  • Strong critical thinking and problem-solving skills
  • Ability to communicate clearly and effectively with both technical and non-technical partners
  • Comfort engaging with business units to ask questions, gather information, and explain audit-related findings
Benefits
  • Competitive Pay
  • Health Plans with FSA or HSA options
  • Dental and Vision Insurance
  • Optional Life Insurance
  • 401K with Company Match
  • 12 weeks of parental leave for birthing parent/ 4 weeks leave for non-birthing parent(s)
  • Additional Parental benefits to include fertility stipends, free diapers, breast pump
  • Paid Holidays
  • PTO Accrual from day one
  • Employee Assistance Programs
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
healthcare claims auditingpre-pay audit processespost-pay audit processesaudit lifecyclerecord requestsfindings reviewappealsrecoupment
Soft Skills
critical thinkingproblem-solvingcommunicationcollaboration
Certifications
high school diplomaassociate degreebachelor’s degree