Associate Auditor / 516

Occupation:Data Entry/Order Processing Position Description:***Candidates with experience performing billing at a DOCTOR's office or HOSPITAL, please APPLY!!!***Training provided by Viant on claims processing and medical coding. (6-8 month training program!!!)JOB SUMMARY:The Associate Auditor is an entry level, developmental job within the Auditor job family and is responsible for performing audits and support duties to assist audit staff. JOB RESPONSIBILITIES:1. Observe and apply Viant policies, practices, and processes for auditing high cost and medical claims, including contract research, drug research, and pricing calculations.2. Maintain the auditing database in accordance with Viant’s departmental policies and procedures.3. Communicate with medical providers to request treatment plans or physician orders for use in audit process.4. Enter completed audit results into database to generate invoices.5. Assist in the compilation and mailing of completed audit reports to providers.6. Research, resolve, and respond to appeals from medical service providers.7. Demonstrate commitment to Viant core values.8. The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.JOB SCOPE:The Associate Auditor works in a developmental role under close supervision and mentorship to complete job responsibilities and to learn the Viant methodology and processes used in the auditing of high cost and medical claims. An incumbent is expected to have general knowledge of auditing policies and practices and to build on that knowledge to competency in applying those policies and procedures in accordance with Viant methodologies and processes. Initially the work will be general but varied in nature and will increase in complexity as an incumbent demonstrates competency and is able to perform assigned duties with proficiency.Qualifications:JOB REQUIREMENTS:• Minimum high school diploma or equivalent (i.e. GED)• Minimum 2 years experience in medical claims and coding• Knowledge of various claims systems• Ability to understand medical coding and complex contracts• Ability to perform and understand complicated drug calculations• Ability to work independently as well as part of a team• Ability to use software, hardware, and peripherals related to job responsibilities, including MS Office• Communication, organizational, and interpersonal skillsCreated 8/8/08 RJM Location: Norwell, MA 02061 Job Status/Type: Full Time, Employee Career Level: Experienced (Non-Manager) Job RefCode: 516