Claims Quality Auditor jobs in San Antonio, TX

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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Claims Auditor
  • Community First Health Plans
  • San Antonio, TX OTHER
  • POSITION SUMMARY/RESPONSIBILITIES
    Responsible for development and maintenance of claims auditing program for all lines of business to improve claims processing standards and to monitor the quality of service delivered to our customers. Identifies processor and phone representative training needs that can be used to improve performance. Requires knowledge of claims processing for HCFA and UB92 for both commercial and Medicaid programs and knowledge of CFHP claims payment processing system, Amisys.

    EDUCATION/EXPERIENCE
    High school diploma or equivalency is required. Minimum of five years experience in insurance, medical or managed care environment including two years of claim processing experience required. Previous auditing and/or Amisys experience preferred.

  • 17 Days Ago

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Claims Auditor
  • University Health System- San Antonio
  • San Antonio, TX FULL_TIME
  • POSITION SUMMARY/RESPONSIBILITIES Responsible for development and maintenance of claims auditing program for all lines of business to improve claims processing standards and to monitor the quality of ...
  • 20 Days Ago

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2nd Shift Quality Auditor
  • United Alloy, Inc.
  • Seguin, TX FULL_TIME
  • 1st Shift Quality Auditor (Seguin, TX) About United Alloy: United Alloy (UA) is the leading brand when to comes to metal fabrication and powder coating. UA produces the highest quality leak-proof meta...
  • 21 Days Ago

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Workers Compensation Claims Adjuster
  • TheBest Claims Solutions
  • San Antonio, TX OTHER
  • Workers Compensation Claims Adjuster SAN ANTONIO, TX 78201 | DIRECT HIRE $75,000 TO $83,000 ANNUALLY, DEPENDING ON EXPERIENCE Job Description Our client, a leading insurance company, is currently seek...
  • 19 Days Ago

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Automotive Claims Adjuster
  • Alternative Claims Management
  • San Antonio, TX FULL_TIME
  • Location: Remote (Texas, Florida, North Carolina, South Carolina, Michigan, Wisconsin, Georgia, Mississippi, Ohio) Hours: Monday to Friday 8:30 am - 5:00 pm WHO WE ARE We are a damage recovery expert ...
  • Just Posted

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Claims Adjuster/Handler/Specialist (FT)
  • Alternative Claims Management
  • San Antonio, TX FULL_TIME
  • ***Hiring Soon***Location: REMOTE (Texas, Florida, North Carolina, Michigan, Wisconsin) Competitive Hourly Pay Performance-Based CommissionHours: Monday to Friday 8:30 am - 5:00 pm WHO WE ARE:We are a...
  • 17 Days Ago

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0 Claims Quality Auditor jobs found in San Antonio, TX area

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Quality Safety Analyst, Child Safety | Remote
  • ICF International, Inc.
  • San Antonio, TX
  • The Quality Safety Analyst will be responsible for a variety of QA and monitoring activities to ensure uniform quality s...
  • 4/25/2024 12:00:00 AM

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LEAD QUALITY ENGINEER - SR. QUALITY ENGINEER - SR. QUALITY SCIENTIST - Quality Assurance
  • Southwest Research Institute
  • San Antonio, TX
  • Who We Are: We are a diverse team of Quality Engineers and Scientists supporting programs and projects in multiple techn...
  • 4/25/2024 12:00:00 AM

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Food Quality and System Assistant
  • RYC Foods LLC
  • San Antonio, TX
  • Job Description Job Description Benefits: Employee discounts Opportunity for advancement Paid time off Training & develo...
  • 4/24/2024 12:00:00 AM

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Quality Inspector
  • Lucifer Lighting Company
  • San Antonio, TX
  • Job Details Level Entry Job Location Corporate Office - San Antonio, TX Remote Type N/A Position Type Full Time Educatio...
  • 4/23/2024 12:00:00 AM

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LEAD QUALITY ENGINEER - SR. QUALITY ENGINEER - SR. QUALITY SCIENTIST - Quality Assurance
  • SWRI
  • San Antonio, TX
  • Act as an integral project team member, supporting quality-related aspects of design, fabrication and test activities fr...
  • 4/23/2024 12:00:00 AM

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Food Quality and System Assistant
  • RYC Foods LLC
  • San Antonio, TX
  • Job Description Job Description The RYC Foods' Quality and System Assistant assists the administration of the food safet...
  • 4/23/2024 12:00:00 AM

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QUALITY ENGINEER - QUALITY SCIENTIST - SR. QUALITY ENGINEER - Supplier Quality Auditor
  • Southwest Research Institute
  • San Antonio, TX
  • Who We Are: Institute Quality Systems is a dedicated team of professionals committed to ensuring the effectiveness, effi...
  • 4/22/2024 12:00:00 AM

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Manager, Closing Quality Assurance - Real Estate
  • USAA
  • San Antonio, TX
  • Why USAA? Lets do something that really matters. At USAA, we have an important mission: facilitating the financial secur...
  • 4/22/2024 12:00:00 AM

San Antonio (/ˌsæn ænˈtoʊnioʊ/; from Spanish, "Saint Anthony"), officially the City of San Antonio, is the seventh-most populous city in the United States, and the second-most populous city in both Texas and the Southern United States, with more than 1.5 million residents. Founded as a Spanish mission and colonial outpost in 1718, the city became the first chartered civil settlement in present-day Texas in 1731. The area was still part of the Spanish Empire, and later of the Mexican Republic. Today it is the state's oldest municipality. The city's deep history is contrasted with its rapid rec...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$43,496 to $53,313
San Antonio, Texas area prices
were up 1.2% from a year ago

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