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Audit Specialist I

Company: HCSC
Location: Tulsa
Posted on: January 15, 2019

Job Description:

Job ID: SH-1029918 Description: BASIC FUNCTION: The primary responsibility for this position is to audit claims for Performance Guarantee Accounts and other various claim audits utilizing several corporate support systems. This position is also responsible for the tracking and reporting of Performance Guarantees performance levels for a number of standard service categories. The position requires accurate data input of monthly statistics for Performance Guarantee customers. Additional audits performed include Prescription Drug, Dental, HMO and special audit requests. This position will also support customer audits, corporate quality and control plans audit. JOB REQUIREMENTS:* 2 years experience with group and direct-pay contracts and benefits.* 1 year claims adjudication and support systems experience.* Knowledge of quality review processes.* Ability to analyze problem claims and customer service issues to determine causes and provide recommendations.* Interpersonal, verbal and written communication skills.* PC proficiency to include Word, Excel, and Access. HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Requirements: Expertise Audit Job Type Full-Time Regular Location TX - Richardson, MT - Helena, OK - Tulsa, NM - Albuquerque

Keywords: HCSC, Tulsa , Audit Specialist I, Accounting, Auditing , Tulsa, Oklahoma

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