Payment Audit Coordinator, Geisinger Health Plan (work from home Eastern United States)
Job Posting for Payment Audit Coordinator, Geisinger Health Plan (work from home Eastern United States) at Geisinger
- Utilizing Audit criteria and guidelines, reviews claims loaded through the Claim Audit Database to identify recovery opportunities.
- Selects and assigns claims for staff to audit.
- Interfaces with External Providers to coordinate audit projects.
- Organizes audit project records, tracks incoming provider itemized bills and profiles, and confirms itemized bills and pharmacy profiles are prepared and available for review.
- Maintains department databases, calendars, logs and filing systems.
- Participates in project development and research.
- Develops and generates reports for ad hoc data as requested.
- Manages record retention policies and procedures.
Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
*Relevant experience may be a combination of related work experience and degree obtained (Associate’s Degree = 2 years; Bachelor’s Degree = 4 years).
Qualifications:
Internet requirements:
Employee required to have/supply: Cable modem, (high speed, only - No DSL or Wireless Cellular Service or Satellite Service) The minimum requirement is:
- •25 MBPS UP
- •75 MBPS DOWN
- •<150 ms Ping Required
- •<30ms Jitter Required
Computer must be connected to the internet via Ethernet cable; wifi is not permitted unless a Virtual Private Network (VPN) is used for the wifi connection
Sign up to receive alerts about other jobs that are on the Payment Audit Coordinator, Geisinger Health Plan (work from home Eastern United States) career path.
Click the checkbox next to the jobs that you are interested in.
Sign up to receive alerts about other jobs with skills like those required for the Payment Audit Coordinator, Geisinger Health Plan (work from home Eastern United States).
Click the checkbox next to the jobs that you are interested in.
-
Claim Handling Skill
-
Income Estimation: $86,342 - $111,535
-
Income Estimation: $100,389 - $137,391
-
-
Claim Investigation Skill
-
Income Estimation: $72,849 - $99,264
-
Income Estimation: $75,221 - $95,928
-
Job openings at Geisinger
Danville, PA
Full Time
Port Matilda, PA
Part Time
Danville, PA
Full Time
Danville, PA
Full Time
Not the job you're looking for? Here are some other Payment Audit Coordinator, Geisinger Health Plan (work from home Eastern United States) jobs in the Danville, PA area that may be a better fit.
We don't have any other Payment Audit Coordinator, Geisinger Health Plan (work from home Eastern United States) jobs in the Danville, PA area right now.
Reimbursement Coordinator Senior - Geisinger Health Plan (Work from Home Pennsylvania resident)
Geisinger, Danville, PA
Sales Trainer, Geisinger Health Plan (Pennsylvania resident)
Geisinger, Danville, PA