Claims Auditor Salary in United States

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Average Salary for Claims Auditor in United States

The average salary of a(n) Claims Auditor in United States is $40,159.

The average hourly rate of a(n) Claims Auditor in United States is $19.31.

The average bonus of a(n) Claims Auditor in United States is $1,004.00.

Job Description:

Audits claims to ensure accuracy of claims determinations. Manages and coordinates the reporting, review, and maintenance of data for use in supporting audit functions. Performs claims audits based on audit program and specified target audits as assigned. Documents audit findings accurately. Assures quality of claim determinations and ensures compliance with regulations and plan requirements. Researches, analyzes, and understands claims processing and payment regulations. Understands and applies standard pricing methodologies for claims. Identifies underpayments/overpayments and generates reports to quantify amounts detected through audit process. Communicates errors to Production Manager or Supervisor and trends errors for corrective actions. Identifies and develops potential areas for claim audits. Evaluates audit initiatives and identifies enhancements to the audit processes and procedures as needed. Determines whether to accept, reject, or request additional information based on policies and procedures. Less

Audits claims to ensure accuracy of claims determinations. Manages and coordinates the reporting, review, and maintenance of data for use in supporting audit functions. Performs claims audits based on audit program and specified target audits as assigned. Documents audit findings... More

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Results for Claims Auditor in United States

Medical Claims Auditor - Remote

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Medical Claims Auditor*. Medical Claims Auditing:. In manually calculating claims, the auditor must be able to recreate deductibles, out-of-pocket maximums, and...

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Responsible for pre and post payment and adjudication audits of high dollar claims for limited lines of business, claim types and products including specialized...

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Auditor (Healthcare) - Irving, TX

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Work with auditors to identify provider contract terms that make claims vulnerable for overpayment. Full Time (Document/Contract Auditor)*....

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Claims Professionals - Multiple Positions/Levels: - Amherst, NY

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The Claim Mentor will complete new hire claim audits and provide advice and guidance on claim processing. Previous Claims expereince....

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Internal Auditor/Claims - Hawthorne, CA

EagleRider

Audit and Claim Responsibilities:. Proven working experience as Internal Auditor. Prepare back log claims, reports, comparisons and data analysis....

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