Exl Service

  • Auditor I - Data Mining

    Job Location US-REMOTE | US
    ID
    2018-6287
    Group
    SCIO Healthcare Analytics
    Type
    Regular Full-Time
  • Overview

    EXL/SCIO Health Analytics is seeking an experienced and self-motivated Auditor I – Data Mining with medical claims experience. This is a Home Office Opportunity.
    The Auditor I – Data Mining is responsible for reviewing the output of queries to identify overpayments. Must be able to follow instructions provided on how to validate overpayments for each query.

    Responsibilities

    Key Duties and Responsibilities:
    • Review output of queries for overpayments.
    • Follow Query Step-by-Step Documentation to validate overpayments.
    • If available, utilize claims system(s) to verify overpayments.
    • Document overpayments/not overpayments in production systems. Claims not overpaid should have clear reason for research purposes.
    • Meet quality and production standards:
    • Record production tasks and time into format outlined by Management.
    • Communicate to Management any issue(s) that would impede completion of assigned work.
    • Work with Management to ensure these issues are resolved.
    • Provide feedback to Management on areas of improvement.

    Qualifications

    Knowledge and Skills:
    • Attention to Detail
    • Excellent written and oral communication skills
    • Flexible during times of change - Adjust to shifting priorities and timelines through analytical and problem solving capabilities
    • Must be able to learn, understand, and apply new technologies
    Qualifications:
    • High School Diploma or Equivalent Required
    • College Degree or Equivalent Work Experience
    Preferred:
    • 1-2 Years’ Experience Auditor
    • 1-2 Years’ Experience with Medical Claims Processing

    EEO Statement

    EEO/Minorities/Females/Vets/Disabilities

    Options

    Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
    Share on your newsfeed