Sr. Auditor

BCBSM
Detroit, MI
Category Accounting
Job Description
This position is for a Senior Auditor responsible for analyzing and reviewing medical records, healthcare claims, and ensuring compliance with billing regulations. The role involves supporting the evaluation and implementation of new workflows, providing leadership, and analyzing operational transactions. The company is based in Detroit, Michigan.

Requirements

  • Analyzing and reviewing medical records and healthcare claims.
  • Verifying patient care documentation is medically necessary.
  • Assisting in the evaluation and implementation of new workflows.
  • Participating in systems testing and process improvement.
  • Providing leadership and supporting team goals.
]]>