Job Summary

• The Audit Specialist is responsible for reviewing medical claims to ensure payments have been processed correctly and in accordance with the Company’s policies and procedures.
• This position analyzes data used in settling claims to determine the validity of payment of claims and reports overpayments, underpayments, and other irregularities.
• HealthOne provides a comprehensive benefits package including 401K with match, medical, dental, vision, and disability insurance.

Matching Summary

Skills & Requirements

Key Requirements

• High School Diploma or GED
• Associates or bachelor’s degree preferred
• Medical Coding or Medical Auditing Certification preferred
• Four years' healthcare experience
• In-depth medical billing and coding knowledge
• In-depth medical claims processing knowledge

Work Rights