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Quality Control Technician – Claims Audit, Medicare/Medicaid
Blue Cross Blue Shield of ArizonaQuality Control Claims Audit Technician ensuring accurate claims payments and compliance with healthcare regulations. Responsibilities include auditing and verifying claim accuracy for Medicare and Medicaid.
About the role
Key responsibilities & impact- Performs internal audit reviews
- Ensures accurate payment for all claim types and verifies demographic information is loaded correctly
- Conduct random quality audits of claims processed
Requirements
What you’ll need- 3 years in a managed care environment
- 3 years of claims processing
- 2 years of processing or auditing Medicaid or Medicare Part A and B claims
- High-School Diploma or GED in general field of study (Applies to All Levels)
Benefits
Comp & perks- Health insurance
- Flexible work arrangements
ATS Keywords
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Hard Skills & Tools
claims processingauditingMedicaid claimsMedicare Part A claimsMedicare Part B claimsinternal audit reviewsquality audits