Job Description

Employer Industry: Healthcare Benefits Management

Why consider this job opportunity:

  • Opportunity for career advancement and growth within the organization
  • Competitive salary and comprehensive benefits package
  • Part-time role with a strong possibility of contract extension
  • Travel opportunities across Canada (25% travel requirement)
  • Supportive and collaborative work environment
  • Chance to utilize analytical and investigative skills in a rewarding setting

What to Expect (Job Responsibilities):

  • Review provider claims reports to identify abnormal or inconsistent claims submissions
  • Perform on-site audits at providers’ locations in Canada
  • Review and summarize findings from provider charts, clinical notes, radiographs, and lab bills
  • Provide clinical opinions to support audit specialists
  • ...

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