Classification: Non-Exempt

Level: Tier I

Pay Range: Depends on Experience level

Reports to: Audit Supervisor

JOB DESCRIPTION

Overview 

6 Degrees Health is a healthcare cost containment company dedicated to achieving superior results while prioritizing a best-in-class customer and member experience. We leverage both clinical expertise and innovative technology to deliver fair reimbursements and enhance payment accuracy. With positive change comes growth, so we are currently seeking a Audit Verifier II to join our fun, fast-paced team.

 Role Summary 

 The Audit Verifier is responsible for examining suspected insurance claim overpayments that we identify on behalf of our insurance carrier clients. 

Essential Role Responsibilities 

· Exhibits acceptable level of communication, teamwork, professionalism, reliability, and respect

· Must positively respond to coaching, mentoring and feedback

· Have a basic level of polices & procedures

• Approved automation ideas 2+
• Consistently exceed audit and quality (TBD) goals

Minimum Role Requirements  

· Ability to perform the essential job functions

· Professionalism

· Problem Solving/Analysis

· Attention to Detail

Preferred Education and Experience

• Post high      school education or certification is preferred.

· Experience in processing Medicare/Medicaid billing or auditing is 

• Proficiency with technology, especially computers and software applications. 
• Have intermediate knowledge of Microsoft Excel and Word. Mainframe, “green screen”  experience is preferred.
• One year or more of experience with insurance claims examination or processing is highly preferred.

Organizational Benefits

· Medical, Dental, Vision and Other Outstanding Ancillary Benefits

· Training and Development Opportunities

· 9 Paid Holidays

· 401k Program with 3% employer match

· Remote Work Opportunities

 Required Education and Experience

• High school diploma or equivalent.
• Two years of experience with Microsoft Excel is required.

Applicants must be authorized to work for ANY employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa.

The base salary range for this position is between $16.50 and $19.00 per hour, plus benefits. Please note that the base salary range is a guideline, and that individual compensation will vary based on factors such as overall qualifications, skillsets, competencies, and work location.  At 6 Degrees Health, we understand that an outstanding team is the building block of any organization. With a solid foundation, achieving our goals becomes a reality. We are dedicated to creating a safe and inclusive environment for our employees, and those in our communities, and we believe that our community is stronger when everyone is included and appreciated. We are committed to learning, listening, and improving, while celebrating the diversity and humanity of all people. We are committed to providing opportunities for engagement in decision making and ensuring safe transparency to express and challenge ideas.  6 Degrees Health, Inc. provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by state, federal, or local law.

AAP/EEO Statement

6 Degrees Health (DMR) is an affirmative action/equal opportunity employer (AA/EOE). All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, sexual orientation, disability status, genetic information, protected veteran status or any other characteristic protected by federal, state or local law.

 Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.