Internal Provider Auditor
Company: VirtualVocations
Location: Athens
Posted on: April 7, 2025
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Job Description:
A company is looking for an Internal Provider Auditor.
Key Responsibilities
Conduct routine monitoring and audits of providers within the
internal software
Perform quality audits on provider operations department entries
and monthly rosters
Monitor processes to detect fraud, abuse, or waste related to
provider operations
Required Qualifications
Minimum 3 years of experience in the healthcare or managed care
industry
Advanced proficiency in Microsoft Office products, especially Word,
Excel, and Access
Thorough understanding of federal, state, and local healthcare
compliance requirements
Ability to meet deadlines and prioritize tasks while analyzing
data
Bachelor's degree in healthcare informatics, business
administration, or related field, or equivalent experience
Keywords: VirtualVocations, Greenville , Internal Provider Auditor, Accounting, Auditing , Athens, South Carolina
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