Claims Quality Auditor jobs in Paramus, NJ

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)

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BPS Needs Assessment
  • Quality Families
  • Sussex, NJ CONTRACTOR,PART_TIME
  • Having a BPS Needs Assessment performed at a youth's home or community setting is essential to initiating services within the NJ Children's System of Care (CSOC). The assessment is conducted in a home or community setting. As part of his or her responsibilities, the BPS Needs Assessor identifies the most appropriate resources and/or services for youth (ages 5-21) and their caregivers. BPS Needs Assessors are independent, licensed clinicians who meet with youth and their families to determine their treatment needs and plan a range of mental health services for them.

    To become a BPS Needs Assessor, individuals must hold a valid NJ license in a mental health field, such as psychology, social work, or counseling. They should also have experience working with children, teenagers, and families. Additionally, effective communication and assessment skills are crucial for accurately identifying youth needs and developing appropriate treatment plans. The ideal candidate for this position will have a strong background in counseling, experience working with young people, knowledge of the NJ Children's System of Care, and a desire to make a difference in the lives of youth.

    This opportunity is available on a per-diem basis and offers flexible scheduling.

    Job Types: Part-time, Contract

    Pay: $180.00 - $200.00 per hour

    License/Certification:

    • LCSW, LPC, or LMFT (Required)

    Ability to Commute:

    • Sussex County, NJ (Required)

    Ability to Relocate:

    • Sussex County, NJ: Relocate before starting work (Required)

    Work Location: In person

  • 4 Days Ago

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Claims Processing
  • GMR Health
  • Pomona, NY FULL_TIME
  • Growing third party administrator seeking a full time claims processor. Responsibilities include: Adjudicating claims Reviewing medical records Calculating reimbursements for providers Skills Needed: ...
  • 6 Days Ago

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Staff Auditor
  • Movado Group Inc
  • Paramus, NJ FULL_TIME
  • Job Description: At Movado Group, we are committed to building the strongest brands in the industry - and we are passionate about what we do. Our people are fueled by a creative spirit and a drive for...
  • 21 Days Ago

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Premium Auditor
  • Interstate Premium Auditing, LLC
  • Sussex, NJ FULL_TIME
  • At Interstate Audit LLC, we are dedicated to exceeding our customers' expectations with every audit. This is achieved by our team of independent auditors who bring their high-level of experience, prof...
  • 27 Days Ago

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Premium Auditor
  • Interstate Audit, LLC
  • Sussex, NJ FULL_TIME
  • At Interstate Audit LLC, we are dedicated to exceeding our customers' expectations with every audit. This is achieved by our team of independent auditors who bring their high-level of experience, prof...
  • 1 Month Ago

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Workers' Compensation Claims Examiner
  • Highview National Insurance
  • Spring, NY FULL_TIME
  • Position Overview Now Hiring! Worker's Compensation Claims ExaminerLocation: Spring Valley, NY 10977Compensation: $80,000 - $95,000 depending on qualifications What's in it for You: Medical, Dental, V...
  • 15 Days Ago

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0 Claims Quality Auditor jobs found in Paramus, NJ area

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FDA Pharmacovigilance Auditor
  • SQA Services
  • New York, NY
  • Job Description Job Description Job Description Are you passionate about quality in the life sciences area? Do you want ...
  • 4/22/2024 12:00:00 AM

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Inpatient Coding Data Quality Auditor/Educator
  • University Hospital New Jersey
  • Newark, NJ
  • Responsibilities The primary purpose of the Inpatient Coding Data Quality Auditor/Educator is to ensure the consistent p...
  • 4/22/2024 12:00:00 AM

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Senior Manager IT Quality Assurance Validation Computerization Systems
  • Lynkx Staffing Llc
  • Saddle Brook, NJ
  • Job Description Job Description Senior Manager IT Quality Assurance Validation Computerization Systems Allendale, NJ Lyn...
  • 4/22/2024 12:00:00 AM

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Supplier Quality Engineer 3
  • Katalyst HealthCares and Life Sciences
  • Flanders, NJ
  • Responsibilities: Lead initiatives to improve quality received from assigned suppliers. Support the qualification of par...
  • 4/21/2024 12:00:00 AM

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Assistant Director Compliance - Maintenance of Way
  • Metropolitan Transportation Authority
  • New York, NY
  • Description Position at Metro-North Railroad POSTING NO: 6598 JOB TITLE: Assistant Director Compliance - Maintenance of ...
  • 4/21/2024 12:00:00 AM

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Quality Auditor
  • H&H
  • New York, NY
  • We are offering an exciting opportunity for a Quality Auditor in our New York City office. The Quality Auditor will carr...
  • 4/20/2024 12:00:00 AM

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Quality Auditor - Life Sciences
  • SQA Services
  • New York, NY
  • SQA Services is a leading Quality Assurance and Supply Chain consultancy firm. SQA manages Supplier Audit and Supplier D...
  • 4/20/2024 12:00:00 AM

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Supplier Quality Engineer (gSource-Emerson,NJ)
  • ARUNDEL MACHINE
  • Emerson, NJ
  • Responsibilities of essential functions include: Effectively communicate quality requirements to suppliers and internall...
  • 4/20/2024 12:00:00 AM

Paramus (/pəˈræməs/ pə-RAM-əs) is a borough in Bergen County, New Jersey, United States. As of the 2010 United States Census, the borough's population was 26,342.. A suburb of New York City, Paramus is located 15 to 20 miles (24 to 32 km) northwest of Midtown Manhattan and approximately 8 miles (13 km) west of Upper Manhattan. The Wall Street Journal characterized Paramus as "quintessentially suburban".[21] Paramus was incorporated as a borough by an act of the New Jersey Legislature on March 2, 1922, and ratified by a referendum held on April 4, 1922, that passed by a vote of 238 to 10.[22][2...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$52,968 to $64,922
Paramus, New Jersey area prices
were up 1.5% from a year ago

Claims Quality Auditor in Bloomington, IN
Evaluates claims activities of other departments and / or companies.
December 05, 2019