Whether you are an experienced professional or a recent graduate, Ebix provides an environment that allows you to explore a dynamic career path to achieve your personal goals.
The Quality Assurance Auditor is responsible for reviewing, examining and investigating medical and dental claims paid, pended and denied to ensure that the appropriate plan/policy provisions, limitations and exclusions were administered and are in compliance with state and federal statutes and all internal processes and procedures.
ESSENTIAL DUTIES AND RESPONSIBILITIES
To perform this job successfully, the Quality Assurance Auditor must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
EDUCATION and/or EXPERIENCE
Associate’s degree (A.A) or equivalent from two-year college or technical school; or 5-7 years related experience in short term medical, group and individual insurance; or an equivalent combination of education and experience with no less than 3 years of medical claims processing with 1 year at a senior level.
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