Claims Auditor/Analyst Job Listing at MedStar Medical Group in Baltimore, MD (Job ID req38656)

Description

MedStar Family Choice is currently seeking a Claims Auditor/Analyst to join their team.  Position is remote but candidate must be local to the DMV area for on-site meeting requirements. 

Job Summary - Manages the claims appeal/audit function of MedStar Family Choice (MSFC) by working with internal departments to run audit data, perform claim audits, and medical record audits. If Appeals, reviews claims appeals, provides communication to providers, keeps accurate and complete claims appeal records. Researches and resolves billing and payment issues. We recruit, retain, and advance associates with diverse backgrounds, skills, and talents equitably at all levels.

• Associate's degree in Healthcare Administration, Business Administration or related field preferred or Bachelor's degree in Healthcare Administration, Business Administration, or related field preferred
• One year of relevant education may be substituted for one year of required work experience.

• 5-7 years Managed care or healthcare related organizations with at least 5 years claims processing and auditing/appeal review experience required
• Experience with Medicaid claim processing preferred
• One year of relevant professional-level work experience may be substituted for one year of required education

• Certified Professional Coder (CPC) preferred
• Claims Appeals certification preferred

• Knowledge of all aspects of claims processing, auditing, coding, A/R and reporting (MicroSoft Excel and Access).
• Excellent verbal and written communication skills.
• Data mining and analytical skills.