Demo

Claims Audit Specialist - NYCSOCW

NavitsPartners
West New York, NJ Full Time
POSTED ON 4/3/2025
AVAILABLE BEFORE 6/3/2025

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:

  • Experience in revenue cycle processes and claim resolution.
  • Proficient in using accounting and claims systems.
  • Fluency in English, Spanish, and French preferred.

Education:

  • Bachelor’s Degree or High School diploma with equivalent work experience (4 years).

Stipend:

  • Weekly: $1,350 - $1,900
  • Monthly: $5,400 - $7,600

Salary : $5,400 - $7,600

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