Medical Review Auditor Analyst

Description: • Auditing medical bills for unrelated charges, overpayments/reimbursements, and overall accuracy. • Assessing payments against regulatory or administrative charges, coding, and billing errors to identify inaccuracies in billing or reimbursement. • Conducting medical audits using methodologies to identify healthcare overpayments and underpayments to providers. • Applying knowledge of provider billing and patient accounting systems to ensure accurate research for potential overpayments. • Developing, maintaining, and ensuring adherence to client policies, regulations, and guidelines. • Performing other tasks as directed by management. Requirements: • Bachelor’s degree in Healthcare Administration, Business Management, or related fields is highly desired, but not required. Ten (10) years of hospital billing experience may substitute for a degree. • Must have hospital business office experience. • Strong mathematical skills to perform audits accurately. • Excellent customer service skills with the ability to collaborate with teams across the USA to ensure success and customer satisfaction. • Proficiency in Microsoft Office and industry-specific software. • Experience in an auditing role, healthcare industry, or insurance is highly desired but not required. • Experience in industries such as Accounting, Finance, or Healthcare Administration is a plus. • Ability to thrive in a fast-paced environment. • Must be self-sufficient and able to work independently without constant supervision. • Comfortable working remotely and occasionally onsite at client locations or hospitals. • Strong communication skills (interpersonal, written, and verbal). • Must be dependable and willing to travel as required. • Must have a valid driver’s license. Benefits: • Health and Welfare Benefits: Our health and welfare benefits can be tailored to fit your needs and start on the first day of employment. • Retirement Savings: We support you as you invest in your future. • Employee Discounts: We offer you access to a vast selection of global, national, and local discounts on merchandise, services, travel, and more. • Career Growth Opportunities: We help you thrive, so together, we can grow. We provide opportunities to advance your career with a vast portfolio of businesses and a global footprint. • Training: Earn while you learn and continue to grow with access to award-winning learning platforms throughout your Conduent career. • Great Work Environment: We are proud of our award-winning culture and the recognition we’ve received for our diversity efforts. Apply tot his job Apply To this Job