Senior Claims Audit Project Coordinator - Detroit, MI

Detroit, MI, US • Posted 7 hours ago • Updated 7 hours ago
Contract W2
Contract Independent
12 Months
No Travel Required
On-site
DOE
Fitment

Dice Job Match Score™

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Job Details

Skills

  • Data Analysis
  • Pharmacy
  • Medicare
  • SharePoint
  • SAS
  • Microsoft PowerPoint
  • Microsoft Excel
  • Business Administration

Summary

DTS is looking for Senior Claims Audit Project Coordinator for our client position in Detroit, MI

 

Description:

 

Engagement Description – Supports audit by retrieving, validating, and compiling documentation from claims systems to meet quality and deadline requirements. Partners with internal teams to respond to audit inquiries, resolve gaps, and ensure accurate submissions. Tracks and manages audit inquiries and deliverables, proactively identifying risks and ensuring timely completion. Conducts detailed claim reviews to validate audit samples and investigate errors. Determines appropriate documentation to support claim payments. Monitors implementation of corrective actions to ensure resolution. Communicates findings clearly, both verbally and in writing, and prepares and refines audit responses to ensure accuracy and clarity.
Top 3 Required Skills/Experience –
• Healthcare experience including claims/benefits
• Project/Workflow Coordination
• Communication Skills
Required Skills/Experience – The rest of the required skills/experience. Include:
• Healthcare experience including medical claims and Medicare Advantage product
• Strong knowledge of CMS rules and regulations
• Advanced Project Management
• Strong Communication Skills
Preferred Skills/Experience  Optional but preferred skills/experience. Include:
• Knowledge of IKA or NASCO claims processing systems
• Strong excel
Education/Certifications – Include:
• Bachelor's degree in Business Administration, Healthcare administration, Accounting, Finance or related field required.

 

 

DTS offers excellent compensation package.


Contact:

Harmandeep

Digital Technology Solutions

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
  • Dice Id: 10122283
  • Position Id: 9010667
  • Posted 7 hours ago
Contact the job poster
GS

Gary Sidhu

Operations Head @ Digital Technology Solutions
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