Internal Provider Auditor - Athens Georgia

Company: VirtualVocations
Location: Athens, Georgia
Posted On: 05/04/2025

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 More...

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