Those fully remote associates residing in states where service is required by contract, law, or ... The primary purpose of the Operations Quality Auditing Analyst is to provide high-level technical ...
Those fully remote associates residing in states where service is required by contract, law, or ... The primary purpose of the Operations Quality Auditing Analyst is to provide high-level technical ...
Those fully remote associates residing in states where service is required by contract, law, or ... The primary purpose of the Operations Quality Auditing Analyst is to provide high-level technical ...
Those fully remote associates residing in states where service is required by contract, law, or ... The primary purpose of the Operations Quality Auditing Analyst is to provide high-level technical ...
Those fully remote associates residing in states where service is required by contract, law, or ... The primary purpose of the Operations Quality Auditing Analyst is to provide high-level technical ...
Those fully remote associates residing in states where service is required by contract, law, or ... The primary purpose of the Operations Quality Auditing Analyst is to provide high-level technical ...
Service Auditor
Philadelphia, PA · On-site
$19 - $20/hr
... not associates perform and deliver the experience as identified by our audit criteria. They are ... They must also be able to coordinate auditing teams across all three shifts of operations and ...
Service Auditor
Philadelphia, PA · On-site
$19 - $20/hr
... not associates perform and deliver the experience as identified by our audit criteria. They are ... They must also be able to coordinate auditing teams across all three shifts of operations and ...
Service Auditor
Philadelphia, PA · On-site
$17 - $18/hr
... not associates perform and deliver the experience as identified by our audit criteria. They are ... They must also be able to coordinate auditing teams across all three shifts of operations and ...
Quick apply
Service Auditor
Philadelphia, PA · On-site
$17 - $18/hr
... not associates perform and deliver the experience as identified by our audit criteria. They are ... They must also be able to coordinate auditing teams across all three shifts of operations and ...
Premium Auditor ( Hybrid )
Scranton, PA · Hybrid
$45/hr
Workers Compensation/General Liability Premium Auditor - Field & Hybrid $30 - $45 Per Billable Hour | Flexible Schedule | Work from Home RLD Associates, Inc. is seeking a detail-oriented Premium ...
Quick apply
Premium Auditor ( Hybrid )
Scranton, PA · Hybrid
$45/hr
Workers Compensation/General Liability Premium Auditor - Field & Hybrid $30 - $45 Per Billable Hour | Flexible Schedule | Work from Home RLD Associates, Inc. is seeking a detail-oriented Premium ...
$45/hr
Workers Compensation/General Liability Premium Auditor - Field & Hybrid $30 - $45 Per Billable Hour | Flexible Schedule | Work from Home RLD Associates, Inc. is seeking a detail-oriented Premium ...
$45/hr
Workers Compensation/General Liability Premium Auditor - Field & Hybrid $30 - $45 Per Billable Hour | Flexible Schedule | Work from Home RLD Associates, Inc. is seeking a detail-oriented Premium ...
$45/hr
Workers Compensation/General Liability Premium Auditor - Field & Hybrid $30 - $45 Per Billable Hour | Flexible Schedule | Work from Home RLD Associates, Inc. is seeking a detail-oriented Premium ...
$45/hr
Workers Compensation/General Liability Premium Auditor - Field & Hybrid $30 - $45 Per Billable Hour | Flexible Schedule | Work from Home RLD Associates, Inc. is seeking a detail-oriented Premium ...
An associate's degree or higher in Health Information Management or Healthcare Administration or biological science; OR * A university, college, or technical school certificate in medical coding; OR
An associate's degree or higher in Health Information Management or Healthcare Administration or biological science; OR * A university, college, or technical school certificate in medical coding; OR
Senior Auditor
Reading, PA · On-site
... auditing experience required. • MBA, CPA, CIA, CISA or CFE preferred. • Strong analytical ... The associate is frequently required to use hands to touch, handle, and feel, and to reach with ...
Senior Auditor
Reading, PA · On-site
... auditing experience required. • MBA, CPA, CIA, CISA or CFE preferred. • Strong analytical ... The associate is frequently required to use hands to touch, handle, and feel, and to reach with ...
Senior Auditor
Reading, PA · On-site
$77K - $95K/yr
With headquarters in Reading, PA, Penske and its associates are driven by a dedication to ... Four plus years of financial auditing experience required. MBA, CPA, CIA, CISA or CFE preferred.
Senior Auditor
Reading, PA · On-site
$77K - $95K/yr
With headquarters in Reading, PA, Penske and its associates are driven by a dedication to ... Four plus years of financial auditing experience required. MBA, CPA, CIA, CISA or CFE preferred.
Senior Auditor
Reading, PA · On-site
$77K - $95K/yr
With headquarters in Reading, PA, Penske and its associates are driven by a dedication to ... Four plus years of financial auditing experience required. MBA, CPA, CIA, CISA or CFE preferred.
Senior Auditor
Reading, PA · On-site
$77K - $95K/yr
With headquarters in Reading, PA, Penske and its associates are driven by a dedication to ... Four plus years of financial auditing experience required. MBA, CPA, CIA, CISA or CFE preferred.
Hilton Night Auditor
Harrisburg, PA · On-site
$14.75 - $19.75/hr
The Night Auditor is responsible for performing nightly close-of-day procedures, ensuring the ... Willow Valley Associates is an equal opportunity employer.
Hilton Night Auditor
Harrisburg, PA · On-site
$14.75 - $19.75/hr
The Night Auditor is responsible for performing nightly close-of-day procedures, ensuring the ... Willow Valley Associates is an equal opportunity employer.
Be Seen First
Senior Financial Auditor
New Brighton, PA · On-site
$75K - $110K/yr
About us Turnley Robertson & Associates is an audit firm located in Beaver County, PA. Our firm ... The ideal candidate will have expertise in financial auditing, risk management, and technical ...
Quick apply
Be Seen First
Senior Financial Auditor
New Brighton, PA · On-site
$75K - $110K/yr
About us Turnley Robertson & Associates is an audit firm located in Beaver County, PA. Our firm ... The ideal candidate will have expertise in financial auditing, risk management, and technical ...
Be Seen First
Senior Financial Auditor
Pittsburgh, PA · On-site
$75K - $110K/yr
About us Turnley Robertson & Associates is an audit firm located in Beaver County, PA. Our firm ... The ideal candidate will have expertise in financial auditing, risk management, and technical ...
Quick apply
Be Seen First
Senior Financial Auditor
Pittsburgh, PA · On-site
$75K - $110K/yr
About us Turnley Robertson & Associates is an audit firm located in Beaver County, PA. Our firm ... The ideal candidate will have expertise in financial auditing, risk management, and technical ...
Auditor
Wilkes Barre, PA · On-site
$20/hr
Auditing inbound and outbound product to ensure order accuracy, counting and verifying inventory ... associates, including paid holidays and vacation - 401(k) with generous company match - Tuition ...
Auditor
Wilkes Barre, PA · On-site
$20/hr
Auditing inbound and outbound product to ensure order accuracy, counting and verifying inventory ... associates, including paid holidays and vacation - 401(k) with generous company match - Tuition ...
PNC Auditors provide independent, objective assurance and consulting services designed to add value ... Participates as an analyst/associate in the line of business development program. * Performs or ...
PNC Auditors provide independent, objective assurance and consulting services designed to add value ... Participates as an analyst/associate in the line of business development program. * Performs or ...
PNC Auditors provide independent, objective assurance and consulting services designed to add value ... Participates as an analyst/associate in the line of business development program. * Performs or ...
PNC Auditors provide independent, objective assurance and consulting services designed to add value ... Participates as an analyst/associate in the line of business development program. * Performs or ...
PNC Auditors provide independent, objective assurance and consulting services designed to add value ... Participates as an analyst/associate in the line of business development program. * Performs or ...
PNC Auditors provide independent, objective assurance and consulting services designed to add value ... Participates as an analyst/associate in the line of business development program. * Performs or ...
Hilton Night Auditor
Harrisburg, PA · On-site
$14.75 - $19.75/hr
The Night Auditor is responsible for performing nightly close-of-day procedures, ensuring the ... Willow Valley Associates is an equal opportunity employer.
Hilton Night Auditor
Harrisburg, PA · On-site
$14.75 - $19.75/hr
The Night Auditor is responsible for performing nightly close-of-day procedures, ensuring the ... Willow Valley Associates is an equal opportunity employer.
Auditing Associate information
See Pennsylvania salary details
$25.1K - $32.6K
0% of jobs
$32.6K - $40.2K
3% of jobs
$40.2K - $47.8K
7% of jobs
$47.8K - $55.3K
8% of jobs
$58.7K is the 25th percentile. Wages below this are outliers.
$55.3K - $62.9K
14% of jobs
$62.9K - $70.4K
17% of jobs
The median wage is $70.6K / yr.
$70.4K - $78K
21% of jobs
$80.3K is the 75th percentile. Wages above this are outliers.
$78K - $85.6K
15% of jobs
$85.6K - $93.1K
8% of jobs
$93.1K - $100.7K
4% of jobs
$100.7K - $108.3K
2% of jobs
$25.1K
$71.9K
$108.3K
How much do auditing associate jobs pay per year?
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Full-time
Medical, Retirement, PTO
This job post has expired 1 day ago. Applications are no longer accepted.
AmeriHealth Caritas rating
8.3
Based on 73 frontline employees who took The Breakroom Quiz
132nd of 315 rated insurance
Job description
For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.
Your career starts now. We are looking for the next generation of health care leaders.
At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we would like to connect with you.
Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
Discover more about us at www.amerihealthcaritas.com.
Role Overview:
The primary purpose of the Operations Quality Auditing Analyst is to provide high-level technical expertise and analysis to the functional areas supported by the Quality Auditing department. They will work closely with configuration, PDM, and Plans to identify the root cause and drive to resolution.
Work Arrangement: Hybrid= Associate must be in the office at least three (3) days per week, including core days of Tuesdays and Wednesdays
Responsibilities:
- Function as a key subject matter expert for all claim research and analysis
- Be proficient in claim payment methodology for all plans
- Have experience in researching State and CMS guidelines – including APR DRG and OPPS methodology
- Maintain a current working knowledge of processing rules, contractual guidelines, Plan policy, and operational procedures to effectively provide technical expertise
- Support the new business claim validation efforts by reviewing claim setup and identifying issues for quick remediation
- Proficient in Contract Manager and all contract/PAT forms
- Assist in analysis on pre-adjudication, target audits, and encounter reviews as required
- Ability to research claim-related encounter errors and ascertain the root cause
- Ability to communicate and represent the Quality Auditing team to the Enterprise, health plans, and outside auditors
- Utilize various technology applications related to claim processing, provider data management, enrollment, etc. (Excel/Access/Word)
- Identify audit trends and provide recommendations
- Train the new QA staff on the pricing methodology for all plans.
Education/Experience:
- Bachelor’s Degree or equivalent work experience
- Minimum of 3 years of extensive claims experience
Skills & Abilities:
- Strong understanding of facets applications
- Critical thinking skills
- Technically proficient
- Proficient in MS Excel and Word
Our Comprehensive Benefits Package
Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.
What AmeriHealth Caritas employees say
Pay
Benefits
Hours and flexibility
Workplace
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About AmeriHealth Caritas
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
5,001 - 10,000 Employees
Headquarters location
Philadelphia, PA, US
Year founded
1983