Project Manager
CurrentWorks with our internal Operations Team to support the OmniClaim audit process. Coordinates with internal stakeholders and hospitals nationwide to ensure that all required items and actions are in place for a successful audit. Leverage electronic and telephone communication, as well as OmniClaim’s proprietary in-house software systems, to ensure patient records are collected, audits are scheduled, and auditors are prepared to perform audits.RESPONSIBILITIES● Provide outstanding customer service to clients, hospitals, auditors and internal team● Build and manage relationships with hospital facilities and staff; use of soft skills and superior communication to have asmooth audit operation process● Working closely with data analyst to reconcile claims data on client and internal systems● Ensure internal claims data meets client quality standards using SQL and excel analysis● Execute miscellaneous client reporting as needed to assist internal Account Managers● Implemented certain processes to make daily tasks more efficient● Work with and manage selected medical claims, assigning it to a team of auditors in a way that is logical, efficient, andmaximizes potential savings for clients● Conduct follow-up audit activities as needed, including outreach to facilitate the collection of medical records