Claims Quality Auditor audits claims for coding accuracy, benefit payment, contract interpretation, and compliance with policies and procedures. Selects claims through random processes and/or other criteria. Being a Claims Quality Auditor makes recommendations to improve quality, workflow processes, policies and procedures. Typically requires an associate degree. Additionally, Claims Quality Auditor typically reports to a supervisor or a manager. The Claims Quality Auditor gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Claims Quality Auditor typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
Pay: $25.50 per hour
Night Shift (Thursday-Saturday & every other Wednesday from 5pm-5am)
Job Title: Quality Assurance Auditor
Department: Quality
Reports to: Supervisor
ESSENTIAL DUTIES & RESPONSIBILITIES INCLUDE:
REQUIREMENTS INCLUDE:
PHYSICAL REQUIREMENTS - Must be able to perform the following functions with or without accommodations:
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0 Claims Quality Auditor jobs found in Modesto, CA area