18757- Vendor Audit Recovery Specialist

Richardson, TX 75082

Posted: 09/22/2022 Industry: Other Job Number: 38841

Job Description


 

 

 

Vendor Audit Recovery Specialist

#18757

 

 

Location: RICHARDSON, TX

Duration: 2 Months Contract to Hire

                       

 

 

Job Description:
  • The Vendor Audit Recovery Specialist contributes to the overall medical cost reduction of our client by supporting departmental audit programs.
  • Makes decisions on moderately complex issues regarding vendor claim audit components with minimal direction.
  • Reports to the Assistant Manager, Provider Audit and Overpayment Recovery.

 

Job Responsibilities: 
  • Acquiring Provider contracts while examining and noting exceptions or special arrangements
  • Validate third-party vendor audit findings
  • Determine appropriate pricing on claims submitted by third-party vendors
  • Meet department production and quality standards
  • Maintain records, files and documentation as appropriate
  • Identify issues, areas of opportunity and escalate appropriately.
  • Other special projects as assigned
  • Collaborates with other departments/resources/entities as applicable

 

Required Qualifications: 
  • High School diploma or G.E.D.
  • Minimum of 2 years work experience reading and interpreting claims
  • Comprehensive knowledge Microsoft Tools: Microsoft Teams (join meetings and trainings), Microsoft Power Point (prepare presentations), Microsoft Word (creating memos, writing), Microsoft Outlook (setting calendar appointments, email) and Microsoft Excel (creating spreadsheets, filtering, navigating reports)
  • Excellent communication skills both written and verbal
  • Skilled in data and/or situational analysis
  • Strong attention to detail
  • Ability to work independently and determine appropriate course of action
  • Ability to handle multiple priorities
  • Capacity to maintain confidentiality

 

Preferred Qualifications:
  • Advanced degree i.e. Associates, Bachelors
  • Knowledge of pre-payment and post-payment audit programs/processes
  • Knowledge of Microsoft Office Programs i.e. Access
  • Experience in a fast paced, metric driven operational setting

 

 

 

 

 

Job Requirements

audit

Meet Your Recruiter

Samantha Wilson

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