Claims Auditor - Community Health Choice in Houston, TX for Harris Health System

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Claims Auditor - Community Health Choice

JOB SUMMARY: To review claims for both new hires and experienced examiners and claim adjusters in a timely and consistent manner, and generate accuracy reports per examiner to be reviewed by Supervisor, and Senior Management. Responsibilities also include the review and auditing of the Provider Communication, Provider Fee Schedule and Provider Database team. Quality Analyst will be responsible for auditing, training, and some reporting functions. MINIMUM QUALIFICATIONS:Education/Specialized Training/Licensure: High school Graduate or GED equivalentWork Experience (Years and Area): Five (5) years of experience in claims adjudication with minimum two years of auditi

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