Claims Quality Auditor jobs in Pittsfield, MA

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)

C
Auditor
  • City of North Adams
  • North Adams, MA FULL_TIME
  • DEFINITION

    The position reports to the Mayor and is responsible for performing administrative and management duties, including all aspects of financial management, performing professional accounting and auditing functions, maintaining the financial system, reporting the City’s financial records and ensuring accuracy and legal compliance, and supervising and controlling the expenditures of all City funds.

    ESSENTIAL FUNCTIONS

    The essential functions or duties listed below are intended only as illustrations of the various type of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position.

    · Create and present the City budget to the City council and assure compliance with generally accepted accounting principles (GAAP) as well as the Uniform Municipal Accounting System (UMAS), and the Governmental Accounting Standards Board (GASB)

    · Exercises the duties set out in MGL Chapter 41 §§ 50 and 52, including maintaining and monitoring all financial activity of the City for accuracy, accountability, and legal compliance; provides administrative, professional, and technical services for Enterprise Funds; develops, monitors, and adheres to procedures and policies on financial practices and internal controls.

    · Oversees, audits, and processes payroll, accounts payable, and accounts receivable.

    · Prepare and authorize weekly expenditure warrants and payroll.

    · Monitors fiscal year activity, and analyzes expenditures/revenue projections, budget, and journal entries.

    · Responds to requests for information and reports from departments, Finance Director, Mayor, City Council, and Schools.

    · Obtains and maintains certifications and designations required by City.

    · Oversees procurement; authorizes contracts as to appropriations; develops and maintains guidelines.

    · Coordinates the annual municipal audit.

    · Recognize and process tax and departmental revenue.

    · Participate in and solve financial and operational challenges as they arise.

    · Recognize, troubleshoot, research, and correct software challenges.

    · Prepare and distribute various federal, City, and state reports including but not limited to the State required Schedule A report.

    · Organize, analyze, interpret, and present monthly financial statements.

    · Performs other related duties as required.

    EDUCATION AND EXPERIENCE

    Bachelor’s degree in Finance, Business Administration, and or accounting required. 3 to 5 years of related preferred; or any equivalent combination of education, training, certification, and experience. Certified Governmental Accountant status is preferred. The employee must also attend the annual Auditors conference.

    Job Type: Full-time

    Pay: $65,000.00 - $80,000.00 per year

    Benefits:

    • Dental insurance
    • Health insurance
    • Life insurance
    • Paid time off
    • Retirement plan
    • Vision insurance

    Schedule:

    • 8 hour shift
    • Monday to Friday

    Ability to Relocate:

    • North Adams, MA 01247: Relocate before starting work (Required)

    Work Location: In person

  • 15 Days Ago

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PCA Caregiver Mon, Wed, Fri 11am-3pm
  • Quality Homemakers
  • Canaan, CT FULL_TIME
  • QHM Homecare Caregiver Recruitment is looking to hire a PCA Caregiver for an elderly client in Falls Village, CT. Monday, Wednesday, Friday 11am-3pm Our PCAs (Personal Care Assistant) can provide comp...
  • 12 Days Ago

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RN Med Surg Pittsfield, MA
  • Quality Clinicians
  • Pittsfield, MA FULL_TIME
  • We are travelers building the kind of agency we always wanted, while we still work assignments. Pay Package: Weekly Pay Range: $1604.98-$2604.98/week Multiple shift openings Job Description/Responsibi...
  • 4 Days Ago

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LPN / LVN - Psychiatric
  • Quality Clinicians
  • Brattleboro, VT FULL_TIME
  • Position: Adolescent Behavioral Health Licensed Practical Nurse Salary Range: Min Pay: $22.66/hour (with 0 years of experience) - Max Pay: $34.04/hour (with 24 years of experience) The Brattleboro Ret...
  • 22 Days Ago

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PCA Caregiver Falls Village, CT
  • Quality Homemakers
  • Canaan, CT FULL_TIME
  • QHM Homecare Caregiver Recruitment is looking to hire a PCA Caregiver for an elderly client in Falls Village, CT. Monday, Wednesday, Friday 11am-4pm Our PCAs (Personal Care Assistant) can provide comp...
  • 27 Days Ago

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Claims Analyst
  • Robert Half
  • Brook, IL PER_DIEM
  • CORE RESPONSIBILITIES:• Demonstrates highest standards of personal and professional integrity, adheres to company’s policies and procedures, and complies with applicable laws, government rules and reg...
  • 14 Days Ago

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0 Claims Quality Auditor jobs found in Pittsfield, MA area

Pittsfield is located at 42°27′N 73°15′W / 42.450°N 73.250°W / 42.450; -73.250 (42.4522, -73.2515). According to the United States Census Bureau, the city has a total area of 42.5 square miles (110.0 km2), of which 40.5 square miles (104.8 km2) is land and 2.0 square miles (5.2 km2), or 4.70%, is water. Pittsfield is bordered by Lanesborough to the north, Dalton to the east, Washington to the southeast, Lenox to the south, Richmond to the southwest, and Hancock to the west. Pittsfield is located 48 miles (77 km) northwest of Springfield, 135 miles (217 km) west of Boston, and 39 miles (63 k...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$47,174 to $57,821
Pittsfield, Massachusetts area prices
were up 1.6% from a year ago

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