MultiPlan is hiring Medical Claims Investigators to review medical claims, identify errors, and uncover savings opportunities for clients. This full-time remote position is ideal for detail-oriented professionals with experience in claims auditing, data mining, and coordination of benefits.
About MultiPlan
MultiPlan is a healthcare technology and data company dedicated to bending the cost curve in healthcare. We support providers, payers, and patients through innovative cost management solutions, driven by a culture of bold thinking, accountability, diversity, and service excellence. Our team members are empowered to make a real impact in transforming healthcare.
Schedule
- Full-time, remote position
- Standard office hours with flexibility available
- Salary range: $50K–$55K per year (based on skills, experience, and location)
What You’ll Do
- Audit paid medical claims for accuracy against contracts and policies
- Use data mining and coordination of benefits techniques to identify overpayments and savings opportunities
- Evaluate claims using HCPCS, ICD-10, and CPT coding standards
- Research claims in payer systems to validate payments
- Collaborate across departments to resolve discrepancies and improve processes
- Ensure compliance with HIPAA and federal/state regulations
- Support team goals by sharing insights and fostering a positive, analytical environment
What You Need
- High School Diploma/GED and 2+ years of direct medical claims investigation, data mining, or coordination of benefits auditing
- Coding/billing certification and bachelor’s degree strongly preferred
- Knowledge of claim reimbursement structures, edits, and methodologies
- Familiarity with Medicare, Medicaid, and payer systems (e.g., Facets, QNXT)
- Advanced Microsoft Excel and strong computer skills
- Strong analytical, multitasking, and communication skills
- Ability to work independently with high attention to detail
Benefits
- Health, dental, and vision coverage with low deductible and copays
- 401(k) with company match
- Incentive bonus program
- Generous paid time off and holidays
- Tuition reimbursement and professional development opportunities
- Life, disability, and flexible spending accounts
- Employee Assistance Program and wellness resources
Step into a role where your investigative skills directly reduce costs and improve efficiency in healthcare.
Happy Hunting,
~Two Chicks…