Contract Claim Quality jobs
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CLAIMS QUALITY ASSURANCE AUDITOR
Responsible for reviewing claims transaction audit reports, perform claims adjudication quality review to ensure compliance with health plan audits. Complete daily, weekly, and monthly audits. Perform daily review of focused pre-p...
| Company | Altais |
|---|---|
| Address | Remote |
| Category | Manufacturing |
| Salary | $80,000 - $95,000 a year |
| Job type | Full-time |
| Date Posted | a month ago See detail |
Claims Quality Assurance Auditor
Altais
Remote
$80,000 - $95,000 a year
Responsible for reviewing claims transaction audit reports, perform claims adjudication quality review to ensure compliance with health plan audits. Complete daily, weekly, and monthly audits. Perform daily review of focused pre-p...
a month ago seen See more...
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Claims Quality Assurance Analyst
San Joaquin County Health Commission
Modesto, CA
Reviews claims, appeals, refunds, PLOGS, reinsurance cases, correspondence and other documents. Identifies errors and analyzes to determine cause. Documents findings and sends back for correction and adjudication. Provides feedbac...
a month ago seen See more...
Claims Quality/Audit Representative - Remote in CA
Optum
San Jose, CA
$16.54 - $32.55 an hour
All Telecommuters will be required to adhere to UnitedHealth Groups Telecommuter Policy.. Responsible for all aspects of quality assurance from a sample of random claims, check run reviews and Health Plan audits. Provide expertis...
2 months ago seen See more...
- View all Optum jobs - jobs in San Jose, CA
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