A company is looking for a Claims Quality Auditor to join their team in California.Key ResponsibilitiesPerform quality assurance functions on claims pre / post payment transactionsAnalyze trends and provide feedback to improve claims processes and performanceMaintain statistical reports and support internal / external auditsRequired QualificationsHigh School Diploma / GEDCertified Coder2+ years of experience in a Healthcare Managed Care environment2+ years of experience reviewing Claims Adjudication dataKnowledge of CPT, RBRVS, ICD-10 coding, and regulatory requirements
Claims Quality Auditor
A company is looking for a Claims Quality Auditor to join their team in California. ...
Quality Assurance Analyst III - NE Licensed
A company is looking for an IT Quality Assurance Analyst III responsible for performing quality checks and developing testing strategies. ...
Claims Resolution Specialist
Accountable for security of financial processing of claims, as well as security information contained in claims files. Job Category: Claims Pay Philosophy The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and ...
Quality Assurance Analyst - IV
Develop quality assurance standards and track quality assurance activities. Quality Assurance Analyst - IV. Working knowledge of AWS based data sources such as Aurora Postgres, Redshift, Athena, AWS Glue, DMS Services to deliver strong Quality solutions. ...
Senior Claims Specialist
Confirms coverage of claims by reviewing policies and documents submitted in support of claims. Ability to influence claims stakeholders and to effectively direct claims strategy. This position will be responsible for the resolution of moderate to high complexity and moderate to high exposure claims...
Wealth Management, Marcus by Goldman Sachs, Fraud & Disputes Quality Assurance - Senior Analyst - Richardson, TX
Join our dynamic Controls Assurance and Analytics team at Marcus by Goldman Sachs as a Senior Fraud & Disputes Quality Assurance Analyst. Play a pivotal role in exercising overseeing the quality assurance of dispute resolution and Reg E compliance processes within the Consumer Banking division at Ma...
ServiceNow Business Analyst & Quality Assurance Consultant
ServiceNow Business Analyst & Quality Assurance Consultant. We are seeking an experienced ServiceNow Business Analyst and Quality Assurance Consultant with 5+ years of experience to join our dynamic team. Business Analyst and Quality Assurance professional in ServiceNow implementations. The idea...
Quality Assurance Analyst - Remote
You will enjoy helping our team developing high quality web-based software solutions using the latest technologies. As the QA Analyst gains experience in the application, you will be expected to handle level-2 customer support calls related to application issues, triage them with the development tea...
Quality Assurance Analyst IV: 24-00561
Maintain quality assurance standards and track quality assurance activities. ...
Remote Contact Center Interaction Analyst – Quality Assurance
Business Analysis and/or Quality Analysis background desired (1-3 years total professional experience). ...