MedReview Inc.

Data Mining Auditor

MedReview Inc.

full-time

Posted on:

Location Type: Remote

Location: United States

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Salary

💰 $75,000 per year

About the role

  • Conduct thorough data audits to ensure accuracy in claims processing and resolution.
  • Analyze large datasets to identify patterns, discrepancies, and trends related to claims performance.
  • Work closely with team members to share insights, collaborate on problem-solving, and contribute to discussions regarding claims audits.
  • Resolve claims discrepancies by determining whether claims are underpaid or overpaid, providing clear documentation of findings.
  • Maintain high standards of accuracy and efficiency while following established leadership guidelines.
  • Prepare and present audit findings and recommendations to leadership in a clear and concise manner.

Requirements

  • High school diploma is required; additional education in a relevant field is a plus.
  • Minimum of 3 years of experience in a healthcare environment, with a focus on claims processing or auditing preferred.
  • Familiarity with claims auditing in the data mining space is a significant advantage.
  • Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint) is essential; advanced Excel skills are highly desirable.
  • Strong analytical skills with the ability to work independently while managing multiple tasks.
  • Excellent communication skills, both verbal and written, with the ability to articulate findings clearly and effectively.
  • A team player who is open to sharing ideas, opinions, and feedback in a collaborative work environment.
Applicant Tracking System Keywords

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

Hard Skills & Tools
data auditingclaims processingdata analysisclaims auditingdata miningadvanced Excel skillspattern identificationdiscrepancy resolutiondocumentationreporting
Soft Skills
analytical skillscommunication skillsteam collaborationproblem-solvingindependencetask managementattention to detailpresentation skillsfeedback sharinginterpersonal skills