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Managed Care Claims Auditor

Location : Andover, MA
Job Type : Temp/Contract
Hours : Full Time
Required Years of Experience : 3
Required Education : HS+
Travel : No
Relocation : No

Job Description :

Our local insurance client is hiring for a newly created Managed Care Claims Auditor position!  This is a  full time remote or hybrid(employee option) position for an indefinite period with potential for perm hire. The hired candidate will process reinsurance claims making sure the first dollar claims were adjudicated properly and making sure all the lines included in claim submissions fall within the incurred/paid period of the reinsurance treaty.  Also, make payment recommendations to clients regarding reinsurance reimbursements due.   


Required Qualifications :


  • Minimum 2 years Claims experience with first dollar medical claims, specific and/or aggregate claim, HMO reinsurance and/or provider excess claims.

  • Prior experience with industry repricing methodologies. (Medicare, DRG, RBRVS etc.)

  • Demonstrated proficiency in Microsoft Office, including Excel, Word and Outlook.

  • Demonstrated strong analytical/critical thinking skills; and detail-oriented focus.




Benefits, Salary


Moore Staffing employees are eligible for a 50% paid health insurance plan after just 30 days of employment.  Salary commensurate with experience is in the $60-$75k range.


Resumes to carol@moorestaffing.com


 


Moore Staffing, winner of Clearly Rated's Best of Staffing® Client and Talent Awards for three consecutive years is an independently owned staffing firm offering you the personalized service of a small company while leveraging big-firm career planning and placement expertise.


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