🛠 Tech Stack

💼 About This Role

You'll conduct pre-payment and post-payment audits of medical claims to ensure accuracy and compliance. You'll identify trends and root causes to prevent processing errors and improve claim quality. This role offers a chance to shape processes at a growing company.

🎯 What You'll Do

• Conduct pre-payment, post-payment, and auto-adjudication audits
• Track and report audit results for trending analysis
• Identify and escalate trends for root cause solutioning
• Participate in cross-functional quality committees and work groups

📋 Requirements

• Bachelor's Degree or equivalent work experience
• 2 years of experience auditing medical claims
• Extensive (5 years) medical claims processing background
• Core system configuration knowledge

✨ Nice to Have

• Previous startup company experience
• Coding certification from AAPC or AHIMA
• Familiarity with Javelina claims processing software

🎁 Benefits & Perks

• 🏖️ Generous PTO
• 👶 Up to 16 weeks paid parental leave
• 💰 401k program
• 🎓 Education reimbursement
• 🐾 Paid paw-ternity leave

📨 Hiring Process

Estimated timeline: 2-4 weeks · AI estimate

1. 1Recruiter screen· 30 min
2. 2Hiring manager interview· 60 min
3. 3Technical assessment· 60 min
4. 4Offer

🚩 Heads Up

• Requirements mention 'Bachelor's Degree or equivalent' but also 5 years extensive experience, possibly inflated
• Role includes both auditing and claims processing duties, potentially overbroad