Performance Auditor
Blue Cross and Blue Shield of Nebraska
full-time
Posted on:
Location Type: Hybrid
Location: Omaha • New York • United States
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About the role
- Perform quality reviews/audits of claim, enrollment and inquiry transactions.
- Research issues identified in reviews by performing additional investigation into applicable documentation, as well as collaborating with operations personnel.
- Communicate/report errors and findings to the appropriate stakeholders.
- Assist with other Plan Performance audit/work as needed.
- Collaborate and serve as a corporate resource to other departments or operational areas.
- Coordinate and organize daily workflow, maintain documentation, attend meetings and other administrative activities.
Requirements
- Associate's degree in business or related field and 2 years’ experience in the health care industry with claims auditing or claims processing experience
- Knowledge of medical terminology and ICD10/ CPT coding
- An equivalent combination of education and experience may be substituted for this requirement.
- The ability to meet or exceed the attendance and timeliness requirements of their departments.
- The ability to work well in a team environment and be capable of building and maintaining positive relationships with other staff, departments, and customers.
Benefits
- Remote flexibility
- Infrequent visits to the office
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims auditingclaims processingmedical terminologyICD10 codingCPT coding
Soft Skills
communicationcollaborationorganizationteamworkrelationship building
Certifications
Associate's degree