Job description
Join our team at Sales Rain BPO Inc. as a Claims Analyst specializing in Post Pay Audit. In this role, you will be responsible for preparing and submitting claim audit packets for internal review or external payor reconsideration.
Responsibility
- Review and analyze claim audit packets
- Query payors regarding claims issues
- Identify trends in claims denials and provide recommendations for improvement
- Collaborate with internal teams to resolve complex claims issues
- Monitor and track claim audits for compliance
Qualification
- Bachelor's degree in a relevant field
- Proven experience in claims processing or auditing
- Strong analytical and problem-solving skills
- Excellent communication and interpersonal abilities
- Attention to detail and accuracy