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Medical Claims Associate -QA and Audit in Glen Allen, VA at Vaco

Date Posted: 1/21/2019

Job Snapshot

Job Description

Vaco Richmond is seeking a dedicated professional to join one of our RVA area clients!

We are looking for individuals with a background in medical claims processing or healthcare billing, as well as claims processing, specific to Medicare, to take on a dynamic role with one of our top clients in the Richmond area!

Duties:
  • Establish a process to audit all claims, including but not limited to SOP processing, fee schedule, payment accuracy
  • Conduct all quality assurance audits for all parts of the claim adjudication process
  • Continually improve upon the audit process and provide feedback to departments about process improvements and trends

Qualifications:
  • Minimum 4 years claims processing/healthcare billing experience with 2 or 3 years of claims auditing experience
  • Strong Excel and other Microsoft application skills
  • Knowledge of CPT-4, ICD9, HCPCS