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Claims Auditor - Brooklyn, NY


  • MJHS
  • 08/08/18
  • Brooklyn, NY
  • 11220
Claims Auditor - Brooklyn, NY

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.Reviews claims to ensure they are processed correctly and in a timely manner. Examines pertinent information online and through reports to audit all types of claims. Ensures claims are processed in accordance with provider contracts, member benefits, authorization and regulatory requirements. Completes daily, weekly, and monthly claims reports to summarize findings regarding the number of errors, types of errors, reasons for errors and recommends corrective action.

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