Data Mining Auditor

Location: Remote

• Conduct thorough data audits to ensure accuracy in claims processing and resolution.
• Analyze large datasets to identify patterns, discrepancies, and trends related to claims performance.
• Work closely with team members to share insights, collaborate on problem-solving, and contribute to discussions regarding claims audits.
• Resolve claims discrepancies by determining whether claims are underpaid or overpaid, providing clear documentation of findings.
• Maintain high standards of accuracy and efficiency while following established leadership guidelines.
• Prepare and present audit findings and recommendations to leadership in a clear and concise manner.

• High school diploma is required; additional education in a relevant field is a plus.
• Minimum of 3 years of experience in a healthcare environment, with a focus on claims processing or auditing preferred.
• Familiarity with claims auditing in the data mining space is a significant advantage.
• Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint) is essential; advanced Excel skills are highly desirable.
• Strong analytical skills with the ability to work independently while managing multiple tasks.
• Excellent communication skills, both verbal and written, with the ability to articulate findings clearly and effectively.
• A team player who is open to sharing ideas, opinions, and feedback in a collaborative work environment.