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Claims QA Analyst
Reporting to the Claims Manager, the Claims Quality Assurance Analyst is responsible for ensuring the integrity of medical claims processing....
Clinical Review Auditor
First Coast Service Options, Inc. - Jacksonville, FL 32224
SUMMARY STATEMENT: This position performs Quality Audits to measure the accuracy of pre- and post-payment medical review determinations, provides education
Nurse Auditor - RN
MJ Morgan Group - 10 reviews - New York, NY
Requirements of the Nurse Auditor:. Job Responsibilities of the Nurse Auditor:. Great opportunity for aNurse Auditor in the NYC area....
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Claims QA Analyst

Commonwealth Care Alliance - 35 reviews - Boston, MA 02108 (Back Bay-Beacon Hill area)
Reporting to the Claims Manager, the Claims Quality Assurance Analyst is responsible for ensuring the integrity of medical claims processing....

Quality Assurance Auditor - QA (DSA)

Marsh - 110 reviews - Overland Park, KS
Two years flood Claims experience, including approval of claims payments, preferred. Under limited supervision, plans and performs operational and compliance...

Quality Assurance Specialist

Delta Dental - 455 reviews - Sherwood, AR
Benefit Coding Specialist, Claims, B&E, Electronic Eligibility and Employee Claims. Conducts daily audits of Benefits Coding Specialists HIPAA related requests...

Quality Assurance Specialist

Network Health - 36 reviews - Menasha, WI
Network Health is seeking a Quality Assurance Specialist. This individual plays a key role in identifying and resolving quality problems and inefficiencies to

Claims QA Analyst

GAINSCO, INC. - 16 reviews - Dallas, TX 75219 (Oak Lawn area)
Claims randomly selected from our claims database. Provides effective communication with claims. Review claims management audit results for....

Supplier Quality Engineer I

Wesco Aircraft - 53 reviews - Valencia, CA
ISO lead auditor training. ASQ Certified Quality Engineer or Certified Quality Auditor. Wesco Aircraft is the world’s leading distributor and provider of...

Quality and Training Specialist

Trinity Health - 128 reviews - Kentwood, MI 49508
Supports the Region’s Training/Education process, by providing training and educational opportunities in revenue cycle systems (e.g., HealthQuest, Receivables...

UPS Capital QA Claims Auditor

UNITED PARCEL SERVICE - 17,242 reviews - Fort Worth, TX 76177
The Claims Supervisor supervises a team of claims adjusters and is responsible for the projects assigned to the group....

Claims Auditor, Snr.

Kaiser Permanente - 4,778 reviews - Englewood, CO
Quality Claims Auditor:. The auditor must be thoroughly familiar with outside medical systems and claims processing/adjudication processes....

QA Auditor Manager

Healthfirst - 625 reviews - Lake Mary, FL
Experience in Healthcare/Health Plan customer service and claims processing Demonstrated experience or deep understanding of healthcare Operations processes and...
Coding & Audit Team Lead
Mednax - 64 reviews - Knoxville, TN
Reviews editor for claims being processed by Clearing House for resubmission. Assists with periodic coding and compliance audits, including but not limited to...
Medical Billing Collections Quality Assurance Analyst
CareCloud - 11 reviews - Miami, FL 33126
Knowledge of tools, concepts and methodologies of QA. Works with payers to determine reasons for denials, corrects and reprocesses claims for payment in a...
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