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Insurance Claim Auditor VA with HCP exp but not required image - Rise Careers
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Insurance Claim Auditor VA with HCP exp but not required

We are seeking a detail-oriented and experienced Virtual Assistant Insurance Claim Auditor to review, audit, and verify insurance claims for accuracy and compliance. This position plays a crucial role in ensuring that all claims are properly documented and processed according to policy and regulatory standards. PLEASE NOTE: ONLY CANDIDATES WITH UPDATED CV AND AN INTRO VIDEO WILL BE PROCESSED.

Key Responsibilities:

  • Review insurance claims for accuracy, completeness, and compliance with company policies and payer guidelines.
  • Audit medical documentation and billing codes (ICD-10, CPT, HCPCS) to verify proper claim submission.
  • Identify errors, inconsistencies, or missing information and follow up for corrections or clarification.
  • Communicate with providers, billers, and insurance companies to resolve discrepancies.
  • Maintain records of audited claims and generate reports on audit findings.
  • Stay updated on industry regulations, payer requirements, and insurance guidelines.
  • Collaborate with internal teams (billing, coding, and compliance) to ensure timely and accurate claim processing.

Requirements:

  • Proven experience in insurance claim auditing, billing, or medical coding.
  • Strong knowledge of health insurance policies, procedures, and billing practices.
  • Familiarity with EMR/EHR systems and billing software (e.g., Kareo, Practice Fusion, AdvancedMD, etc.).
  • Proficient in Microsoft Excel, Google Sheets, and document management tools.
  • Exceptional attention to detail and analytical skills.
  • Excellent written and verbal communication skills.
  • Ability to handle confidential information with discretion.

How to Apply:

Interested candidates should submit their resume and a cover letter detailing their relevant experience and qualifications to patrick.g@globalpacificsupport.com with the subject line "Insurance Claim VA Application”. PLEASE ATTACH THE LINK OR SHORT VIDEO INTRODUCTION OF YOURSELF HIGHLIGHTING YOUR EXPERTISE AND EXPERIENCE.

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TEAM SIZE
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LOCATION
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EMPLOYMENT TYPE
Full-time, remote
DATE POSTED
April 8, 2025

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