Auditor II Quality Assurance##Hampton##VA - (Hampton, VA)

Auditor II Quality Assurance##Hampton##VA Job SummaryThe Auditor II Quality Assurance will be required to audit claims for contractual and statistical accuracy and provide support for training and appraisal of MVH Operations staff.Characteristics and Responsibilities Audit both trainee and experienced individual employee worked claims Audit systematically processed claims on both a pre and post-payment basis. Monitor compliance with claims processing procedures. Evaluate duplicate claims matching and claims payment. Perform contract specific duties such as invoice auditing, research, analyze, and perform informational updates into online systems. Investigate and initiate claim adjustments. Verify and/or update DEERS, beneficiary, sponsor, OHI, and eligibility screens. Audit and process claims, including those with High Dollar amounts. Perform targeted audits relating to various functions performed in MVH.