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Compliance Analyst

Company: Globa Channel Management, Inc.
Location: Auburn
Posted on: June 16, 2019

Job Description:

Compliance Analyst needs experience with Audits, Data Analytics, Insurance Benefit Application, Fraud Investigations, Record Review, and/or Healthcare Coding/billing Compliance Analyst requires: advanced MS Excel and Access functions software applications, query reporting Critical thinking, data analytics, and organizational skills Compliance Analyst duties : Assist in initiation and implementation of special investigations through management of provider record receipt and preparation, mail merge projects, reviewing and responding to provider communications, and preparing internal and external reports. Responsible for conducting data analysis to identify aberrant claim submission patterns and to evaluate red flag reports. Assist in development of reporting database to track and report on cases. Responsible for timely review, tracking, and analysis of suspected fraud reports from various sources Responsible for communicating directly with internal stakeholders, providers, clients, and other external reporting entities

Keywords: Globa Channel Management, Inc., Auburn , Compliance Analyst, Professions , Auburn, Alabama

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