Clinical Auditor I-Nurse
WellSense • United States, REMOTE • Posted July 05, 2026
About the Role
Position Type
Full-Time/Regular
It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.
**Job Summary**
The Clinical Auditor I performs detailed medical record audit review and analysis of the health plan’s outpatient, professional and ancillary claims to ensure that all reimbursement to the provider is paid accurately and ensuring adherence to regulations, internal policies and best practice of patient care.
Our Investment in You:
· Full-time remote work
· Competitive salaries
· Excellent benefits
**Key Functions/Responsibilities:**
· Analyze patient records, treatment plans, and medical billing documents to ensure accuracy, completeness, and strict compliance with healthcare standards and regulations.
· Verif...
Full-Time/Regular
It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.
**Job Summary**
The Clinical Auditor I performs detailed medical record audit review and analysis of the health plan’s outpatient, professional and ancillary claims to ensure that all reimbursement to the provider is paid accurately and ensuring adherence to regulations, internal policies and best practice of patient care.
Our Investment in You:
· Full-time remote work
· Competitive salaries
· Excellent benefits
**Key Functions/Responsibilities:**
· Analyze patient records, treatment plans, and medical billing documents to ensure accuracy, completeness, and strict compliance with healthcare standards and regulations.
· Verif...