- Perform audits and quality assurance processes related to claims processing.
- Prepare working papers, which record and summarize data in accordance with professional standards.
- Organize and maintain audit support files, workpapers, and other relevant documentation.
- Analyze healthcare claims data to identify patterns and anomalies.
- Prepare detailed reports and dashboards for internal and client use.
- Collaborate with cross-functional teams to implement data-driven solutions.
- Ensure compliance with healthcare regulations and data privacy standards.
- Work as an active team member during scheduled engagements.
- Provide feedback to the team lead on any issues identified during research or claims review.
SQLData AnalysisMicrosoft Office