Claims Auditor

looking for a detail-oriented Claims Auditor to help ensure accurate and timely claims processing. You’ll perform pre-payment and post-payment validations, support operational reporting and testing, and manage data submissions while ensuring claims align with established policies, guidelines, contractual agreements, and provider rates.

Ready to take the next step? Apply today!

ESSENTIAL DUTIES AND RESPONSIBILITIES

Apply Medicare Claim Payment rules and requirements, including the application of National Coverage Decisions, Local Coverage Decisions, and National Correct Coding requirements to claims received for payment. Enter claim data accurately and timely, in alignment with departmental production and quality goals. Ensure claims payments are made within time frames as reflected in contractual agreements.

Maintain a minimum of 98% accuracy at all times. Perform pre-payment audits and post payment audits to validate claims for appropriate coding and documentation (including but not limited to CPT, HCPCS, ICD-10 coding) and validate accurate claim adjudication rules and fee schedules were applied. Perform pre-payment high dollar claim audits.

Apply policies and procedures to confirm that claims meet criteria for payment and are in compliance with Leon Health contractual guidelines. Manage difficult, non-routine or escalated claims by using comprehensive research and thorough knowledge of Medicare payment rules. Identify and manage third party liability (TPL) or coordination of benefits (COB) cases reported by CMS, providers or members.

Perform outreach and recovery efforts to Third Party Administrators. Coordinate with Finance department for claim payments, voids and refunds. Apply adjustments to the claim payment system as necessary. Refer claims for medical management claim review as necessary/applicable. Outreach to providers for additional information, including medical records to validate Medicare criteria is met prior to approving a claim for payment.

Educate providers on billing requirements to reduce claim submission rejections and denials. Educate providers on prior authorization requirements. Review and process provider payment disputes according to Leon Health policies and contractual requirements. Review and process member requests for reimbursement of claims.

Create and distribute claim inventory and aging reports as needed. Create ad hoc claim data extracts as needed. Create and validate claim reports (Organizational Determinations) prior to submission to CMS to ensure accuracy and completeness of data files. Assist in the effectuation of overturned appeals made by Leon Health or federal contractor/entity.

EDUCATION

High School diploma or GED equivalent. WORK EXPERIENCE Minimum of five years’ experience in healthcare claims processing, or an equivalent combination of education, training and experience. Medicaid and Medicare claim processing experience preferred. LANGUAGE SKILLS Fluent in English and Spanish.