What are the responsibilities and job description for the Claims Audit Specialist - NYCSOCW position at NavitsPartners?
Job Description
Job Description
Job Title : Claims Audit Specialist
Duties :
- Review and audit patient accounts to ensure accuracy in claims submission.
- Resolve edits, rejections, and denials through coordination with payers and internal teams.
- Maintain and update patient account systems with payment and adjustment data.
- Conduct pre-authorizations and follow up on pending claims.
- Track overdue accounts using aging reports and initiate necessary follow-ups.
- Assist patients with billing inquiries, including payment arrangement setups.
Skills Required :
Education :
