Momentum is seeking a qualified Clinical Auditor to conduct timely audits of hospital claims, focusing on accuracy, compliance, and customer-centric service for scheme members. You will apply PMB-like rules, review medical documentation, and identify billing variances and potential
Role Purpose Responsible for configuring the O2 System accurately as well timely implementation and maintenance of critical information. Ensure adherence to business and system requirements of customers as it pertains to contracting, benefits, prior authorizations, fee