Claims Quality Auditor jobs in Santa Barbara, CA
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)
Recently Added Claims Quality Auditor jobs
Claims Examiner
- CenCal Health
-
Santa Barbara, CA
FULL_TIME
-
- Review, price and release claims associated with the assigned claim types (paper and electronic)
- Review Manual Review reports that suspend for review on all CenCal Health programs
- Review audit reports for all CenCal Health programs
- Analyze current processes and work with Supervisor to automate or improve quality where fit
- Assist with ideas for creation of SCF (System Change Forms) when applicable
- Keep up to date on all CenCal Health policies and provide materials for improvement projects within Department
- Assure all regulatory guidelines are being followed and monitored
- Maintain daily activity log
- Assist with the processing of claims
- Audit and report all billing & error trends found during the course of review and data entry;
- Maintain processes and timelines required by AB1455 Claims Settlement Practices and DHCS Regulations
Other duties and projects as assigned
- 12 Days Ago
Night Auditor
- Hotel Milo
-
Santa Barbara, CA
FULL_TIME
- Job Summary The Night Auditor is responsible for the preparation and disposition of all Night Audit work. Responsible for the front desk operation during the overnight shift (Typically 11pm-7am). Prim...
- 18 Days Ago
Night Auditor
- Mar Monte Hotel, the Unbound Collection
-
Santa Barbara, CA
OTHER
- About UsMar Monte Hotel is your gateway to the American Riviera. Just minutes from Santa Barbara’s downtown, the hotel is located on Cabrillo Boulevard, across from East Beach and the Pacific Ocean. A...
- 6 Days Ago
Night Auditor
- HEI Hotels & Resorts
-
Santa Barbara, CA
FULL_TIME
- Night Auditor Job Locations US-CA-Santa Barbara Requisition ID 2024-47547 Category Front Desk / Guest Services Position Type Regular Full-Time FLSA Status Non-Exempt Location Name Mar Monte Hotel, the...
- 7 Days Ago
Glazier/Installer
- Quality Windows, Inc
-
Santa Barbara, CA
FULL_TIME
- About us Quality Windows, Inc has been around for 30 years. We are growing with locations in Oxnard, Santa Barbara, and our brand new location in Ventura! We are demanding and nimble. Our work environ...
- 5 Days Ago
Compliance Nurse Auditor
- CenCal Health
-
Santa Barbara, CA
FULL_TIME
- California Salary Range: $82,165 - $119,140 Job Summary Under the direction and supervision of the Audit Manager within the Audits, Monitoring, & Oversight Department of the Compliance Division, and t...
- 22 Days Ago
Filters
- Current Active Filter
- Santa Barbara, CA
Clear All
- Filter Jobs By posted time
- Within 1 Day
- Within 2-7
- Within 1 Month
- Within 3 Months
0 Claims Quality Auditor jobs found in Santa Barbara, CA area
Senior Project Manager/Engineer
- Stantec
-
Santa Barbara, CA
- Senior Project Manager/Engineer - ( 230002YS ) Description Grounded in safety, quality, and ethics, our experts lead the...
- 4/25/2024 12:00:00 AM
Health Care Agency Payroll and Accounts Payable Manager
- Ventura County
-
Ventura, CA
- Health Care Agency Payroll and Accounts Payable Manager Print (https://www.governmentjobs.com/careers/ventura/jobs/newpr...
- 4/25/2024 12:00:00 AM
Clinical Research Associate to CTM
- Planet Pharma
-
Carpinteria, CA
- Primary Responsibilities (all levels): Performs all study monitoring visits and completes supporting visit reports, incl...
- 4/24/2024 12:00:00 AM
Internal Revenue Agent (Senior Revenue Agent (Examiner) -12 MONTH ROSTER
- Department Of The Treasury
-
Santa Barbara, CA
- Duties WHAT IS THE SBSE - SMALL BUSINESS SELF EMPLOYED DIVISION? A description of the business units can be found at: ht...
- 4/22/2024 12:00:00 AM
Internal Revenue Agent (Examination Analyst - Examiner) 12 MONTH ROSTER - AMENDED
- Department Of The Treasury
-
Carpinteria, CA
- Duties WHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION? A description of the business units can be found at: ht...
- 4/22/2024 12:00:00 AM
Supervisory Internal Revenue Agent - MSP, 12 Month Roster, Temp Prom NTE 1 Year, MBE, MBMP
- Department Of The Treasury
-
Carpinteria, CA
- Duties WHAT IS THE SMALL BUSINESS/SELF-EMPLOYED (SB/SE) DIVISION? A description of the business units can be found at: h...
- 4/22/2024 12:00:00 AM
Engineer Sr II - Electrical Manufacturing
- Arthrex
-
Goleta, CA
- Arthrex, Inc. is a global medical device company and a leader in new product development and medical education. We are a...
- 4/21/2024 12:00:00 AM
Clinical Research Associate to CTM
- Planet Pharma
-
Carpinteria, CA
- Primary Responsibilities (all levels): Performs all study monitoring visits and completes supporting visit reports, incl...
- 4/21/2024 12:00:00 AM
About Santa Barbara, California
Santa Barbara (Spanish: Santa Bárbara) is the county seat of Santa Barbara County in the U.S. state of California. Situated on a south-facing section of coastline, the longest such section on the West Coast of the United States, the city lies between the steeply rising Santa Ynez Mountains and the Pacific Ocean. Santa Barbara's climate is often described as Mediterranean, and the city has been promoted as the "American Riviera". As of 2014, the city had an estimated population of 91,196, up from 88,410 in 2010, making it the second most populous city in the county after Santa Maria. The contig...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$49,657 to $60,864
Santa Barbara, California area prices
were up 2.5% from a year ago
were up 2.5% from a year ago
What does a Claims Quality Auditor do?
Claims Quality Auditor in Bloomington, IN
Evaluates claims activities of other departments and / or companies.
December 05, 2019