About this opportunity
brightonhealthplansolutions lists this High-Value Claims Auditor opportunity in chapel hill, North Carolina. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Brighton Health Plan Solutions is seeking a High Dollar Specialist to review high dollar claims for accuracy in billing, pricing and adjudication. The role supports the Quality Department and collaborates with internal and external stakeholders to ensure proper reimbursement and compliance.
The ideal candidate has 3–5 years of coding and claims examination experience, strong DRG knowledge, and familiarity with physician and ancillary billing, plus excellent written and verbal communication to
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Worksite address
chapel hill, NC, 27517, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.