Supervisor, Provider Reimbursement and Claims Audit - (Chesterfield, MO)

Supervisor, Provider Reimbursement and Claims Audit USA-Missouri-Chesterfield Position Purpose: Ensure accurate and timely auditing and resolution of provider claim inquiries provider claims for payment accuracy to source documents (e.g. contracts) Audit complex and escalated provider claims for payment accuracy to source documents (e.g. contracts) Evaluate department audit and workflow processes, identify process improvements, and implement changes Ensure all audits are compliance with policies and procedures. Standards, and various guidelines Develop audit programs and workflow processes for new markets/products Prepare and present reports on audit findings, issues, and action plans for resolution Research and respond to escalated issues or questions Lead and direct the work of provider reimbursement and claims audit staff Supervise the day-to-day provider reimbursement or claims audit staff ensuring consistent workflow for accurate and timely processing of claims.