L2 / L3 - Medical Billing (Quality Analyst)

Wonder Worth Solutions Pvt Ltd

1 to 3 yrs. Vellore
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Posted on 20 Jan 2020

Job Description

Audit intermediate and advanced level claim transactions, including reinsurance and high dollar claims.
Monitor and report workloads on a daily, weekly, and monthly basis.
Thoroughly understand the requirements on all work activities and processes being reviewed.
Meet or exceed audit productivity and quality standards to maintain the integrity of the claim sample.
Maintain and report individual and team claim sample and backlogs, ensuring that all claims within sample are audited.
Determine error sources and accurate entry of claim audits into the Quality Database daily.
Review error trend reports and participate in rebuttal process for continuous improvement; providing feedback to Quality Assurance and Claims teams.
Perform focused audits.
Attend and actively participate in Quality Assurance Team meetings.
Perform other duties as assigned.

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