The Claims Quality Assurance Auditor maintains positive working relationships with our internal and external customers, health plan's, providers and/or members by seeking a partnership approach that ...
The Claims Quality Assurance Auditor maintains positive working relationships with our internal and external customers, health plan's, providers and/or members by seeking a partnership approach that ...
The Claims Quality Assurance Auditor maintains positive working relationships with our internal and external customers, health plan's, providers and/or members by seeking a partnership approach that ...
The Claims Quality Assurance Auditor maintains positive working relationships with our internal and external customers, health plan's, providers and/or members by seeking a partnership approach that ...
Claims Quality Assurance Auditor
Whittier, CA · On-site
$23 - $36.70/hr
The Claims Quality Assurance Auditor maintains positive working relationships with our internal and external customers, health plan's, providers and/or members by seeking a partnership approach that ...
Claims Quality Assurance Auditor
Whittier, CA · On-site
$23 - $36.70/hr
The Claims Quality Assurance Auditor maintains positive working relationships with our internal and external customers, health plan's, providers and/or members by seeking a partnership approach that ...
Claims Quality Assurance
Irving, TX · Remote
The Claims Quality Assurance serves as the technical claims expert for the Claims Operations by auditing compliance with established CorVel, industry and carrier claim handling standards. The primary ...
Quick apply
Claims Quality Assurance
Irving, TX · Remote
The Claims Quality Assurance serves as the technical claims expert for the Claims Operations by auditing compliance with established CorVel, industry and carrier claim handling standards. The primary ...
Claims Quality Assurance
Irving, TX · On-site
$70K - $116K/yr
The Claims Quality Assurance serves as the technical claims expert for the Claims Operations by auditing compliance with established CorVel, industry and carrier claim handling standards. The primary ...
Claims Quality Assurance
Irving, TX · On-site
$70K - $116K/yr
The Claims Quality Assurance serves as the technical claims expert for the Claims Operations by auditing compliance with established CorVel, industry and carrier claim handling standards. The primary ...
Quality Assurance Auditor
Buffalo, NY · On-site
$24 - $27/hr
The Quality Assurance Auditor will analyze, document, and report on results to business ... Experience with pharmacy on-line claims processing systems preferred. * Strong analytical, problem ...
Quality Assurance Auditor
Buffalo, NY · On-site
$24 - $27/hr
The Quality Assurance Auditor will analyze, document, and report on results to business ... Experience with pharmacy on-line claims processing systems preferred. * Strong analytical, problem ...
$24 - $27/hr
The Quality Assurance Auditor will analyze, document, and report on results to business ... Experience with pharmacy on-line claims processing systems preferred. * Strong analytical, problem ...
$24 - $27/hr
The Quality Assurance Auditor will analyze, document, and report on results to business ... Experience with pharmacy on-line claims processing systems preferred. * Strong analytical, problem ...
Claims Quality Assurance
Irving, TX · Remote
The Claims Quality Assurance serves as the technical claims expert for the Claims Operations by auditing compliance with established CorVel, industry and carrier claim handling standards. The primary ...
Claims Quality Assurance
Irving, TX · Remote
The Claims Quality Assurance serves as the technical claims expert for the Claims Operations by auditing compliance with established CorVel, industry and carrier claim handling standards. The primary ...
Quality Assurance Auditor
$24 - $27/hr
The Quality Assurance Auditor will analyze, document, and report on results to business ... Experience with pharmacy on-line claims processing systems preferred. * Strong analytical, problem ...
Quality Assurance Auditor
$24 - $27/hr
The Quality Assurance Auditor will analyze, document, and report on results to business ... Experience with pharmacy on-line claims processing systems preferred. * Strong analytical, problem ...
The Quality Assurance (QA) Auditor is responsible for evaluating the accuracy, completeness, and compliance of Patient Access workflows to support highquality registration practices and reduce ...
The Quality Assurance (QA) Auditor is responsible for evaluating the accuracy, completeness, and compliance of Patient Access workflows to support highquality registration practices and reduce ...
Quality Assurance Auditor
Montgomery, AL · On-site
$60 - $80/hr
To learn more about Baptist Health, visit us at The Quality Assurance (QA) Auditor is responsible for evaluating the accuracy, completeness, and compliance of Patient Access workflows to support ...
Quality Assurance Auditor
Montgomery, AL · On-site
$60 - $80/hr
To learn more about Baptist Health, visit us at The Quality Assurance (QA) Auditor is responsible for evaluating the accuracy, completeness, and compliance of Patient Access workflows to support ...
WI · On-site
$60 - $80/hr
Qa Auditor Full Time Technical Wittenberg, WI, US Job Title: Quality Assurance Auditor Market Title: Quality Assurance Status: Regular Full-Time FLSA: Non-Exempt JOB SUMMARY This role will ...
WI · On-site
$60 - $80/hr
Qa Auditor Full Time Technical Wittenberg, WI, US Job Title: Quality Assurance Auditor Market Title: Quality Assurance Status: Regular Full-Time FLSA: Non-Exempt JOB SUMMARY This role will ...
Quality Assurance Auditor
Miami, FL · On-site
Quality Assurance Auditor Department: Quality Control Location: Corporate HQ Office- Miami Reports to: Manager, Quality Assurance Overview The Quality Assurance Auditor supports GlobalX Airlines ...
Quick apply
Quality Assurance Auditor
Miami, FL · On-site
Quality Assurance Auditor Department: Quality Control Location: Corporate HQ Office- Miami Reports to: Manager, Quality Assurance Overview The Quality Assurance Auditor supports GlobalX Airlines ...
QA Auditor
Marana, AZ · On-site
$80 - $100/hr
QA Auditor Full Time Marana, AZ, US 3 days ago Requisition ID: 1226 It's your career, give it wings! Who we are and where we are going: Ascent Aviation Services is one of the largest aviation ...
QA Auditor
Marana, AZ · On-site
$80 - $100/hr
QA Auditor Full Time Marana, AZ, US 3 days ago Requisition ID: 1226 It's your career, give it wings! Who we are and where we are going: Ascent Aviation Services is one of the largest aviation ...
Qa Auditor
Wittenberg, WI · On-site
Quality Assurance Auditor Market Title: Quality Assurance Location: Wittenberg WI Status: Regular Full-Time FLSA: Non-Exempt JOB SUMMARY: This role will proactively ensure that the Nueske Quality and ...
Quick apply
Qa Auditor
Wittenberg, WI · On-site
Quality Assurance Auditor Market Title: Quality Assurance Location: Wittenberg WI Status: Regular Full-Time FLSA: Non-Exempt JOB SUMMARY: This role will proactively ensure that the Nueske Quality and ...
Quality Assurance Auditor
Huntington Beach, CA · On-site
$80K - $120K/yr
JOB SUMMARY The Quality Assurance Auditor is responsible for scheduling, conducting, and assessing the company's Quality Management System. This role covers business processes, including management ...
Quality Assurance Auditor
Huntington Beach, CA · On-site
$80K - $120K/yr
JOB SUMMARY The Quality Assurance Auditor is responsible for scheduling, conducting, and assessing the company's Quality Management System. This role covers business processes, including management ...
Quality Assurance (QA) Auditor
Durham, NC · On-site
$100 - $125/hr
The QA Auditor will ensure the accuracy, integrity, and compliance of toxicological research studies, with a focus on rodent models (mice and rats). This position requires strong auditing and QA ...
Quality Assurance (QA) Auditor
Durham, NC · On-site
$100 - $125/hr
The QA Auditor will ensure the accuracy, integrity, and compliance of toxicological research studies, with a focus on rodent models (mice and rats). This position requires strong auditing and QA ...
Quality Assurance Auditor
Lancaster, SC · On-site
$60 - $80/hr
Requirements Must have a minimum of 5 years of Quality Assurance auditing experience in cGMP environment with a minimum of 5 years of external vendor/ supplier compliance auditing experience within ...
Quality Assurance Auditor
Lancaster, SC · On-site
$60 - $80/hr
Requirements Must have a minimum of 5 years of Quality Assurance auditing experience in cGMP environment with a minimum of 5 years of external vendor/ supplier compliance auditing experience within ...
Qa Auditor
Wittenberg, WI · On-site
Quality Assurance Auditor Market Title: Quality Assurance Location: Wittenberg WI Status: Regular Full-Time FLSA: Non-Exempt JOB SUMMARY: This role will proactively ensure that the Nueske Quality and ...
Quick apply
Qa Auditor
Wittenberg, WI · On-site
Quality Assurance Auditor Market Title: Quality Assurance Location: Wittenberg WI Status: Regular Full-Time FLSA: Non-Exempt JOB SUMMARY: This role will proactively ensure that the Nueske Quality and ...
Qa Auditor
Wittenberg, WI · On-site
Quality Assurance Auditor Market Title: Quality Assurance Location: Wittenberg WI Status: Regular Full-Time FLSA: Non-Exempt JOB SUMMARY: This role will proactively ensure that the Nueske Quality and ...
Qa Auditor
Wittenberg, WI · On-site
Quality Assurance Auditor Market Title: Quality Assurance Location: Wittenberg WI Status: Regular Full-Time FLSA: Non-Exempt JOB SUMMARY: This role will proactively ensure that the Nueske Quality and ...
Claims Qa Auditor information
See salary details
$14.42 - $17.46
13% of jobs
$19.47 is the 25th percentile. Wages below this are outliers.
$17.46 - $20.50
18% of jobs
$20.50 - $23.54
15% of jobs
The median wage is $24.04 / hr.
$23.54 - $26.57
23% of jobs
$28.03 is the 75th percentile. Wages above this are outliers.
$26.57 - $29.61
13% of jobs
$29.61 - $32.65
5% of jobs
$32.65 - $35.69
1% of jobs
$35.69 - $38.72
3% of jobs
$38.72 - $41.76
5% of jobs
$41.76 - $44.80
1% of jobs
$44.80 - $47.84
2% of jobs
$14
$26
$47
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Claims Quality Assurance Auditor
Whittier, CA • On-site
Full-time
Posted 11 days ago
PIH Health rating
8.6
Based on 66 frontline employees who took The Breakroom Quiz
7th of 898 rated healthcare providers
Job description
The Claims Quality Assurance Auditor maintains positive working relationships with our internal and external customers, health plan's, providers and/or members by seeking a partnership approach that will meet the company goals and vision. The CQA auditor will coordinate Health Plan's audits activities with preparation and provide preliminary results on non-compliant issues to CQA manager. Oversees, audit findings and provide education to claims staff and other internal customers within PIH. Assists with developing an audit control checklist for prevention of claims timeliness, payment accuracy, systematic or statistical errors in PIH managed care claims system. Develop a root cause analysis report for common trends to provide feedback to the claims staff/ team and/or PIH internal customers. Oversees, in conjunction with the Managed Care Management Team, to ensure QA programs are aligned with claims operations and other areas that have direct impact with claims to prevent non-compliance. Adheres to internal department standard operating procedures and applies standard industry guidelines in accordance with regulatory agencies (state and federal). Researches, analyzes and resolves complex problems dealing with claims audits, including member denials, provider disputes, deficiencies that will potentially jeopardize the claims department. Has extensive knowledge of current and future claims processing, audits, compliance, adjustment, provider disputes, DOFRs and/or configuration, etc.
PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region. The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women's health, urgent care and emergency services. The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nation's top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology. For more information, visit PIHHealth.org or follow us on Facebook, Twitter, or Instagram.
What PIH Health employees say
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About PIH Health
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* PIH Health is a nonprofit health and wellness network serving Los Angeles and Orange Counties. Our integrated system consists of 747 beds at two acute care hospitals and a multi-specialty medical group. * Strong community reputation * 2014, 2015 Favorite Workplace * Innovative, transparent, family-like culture
Industry
Health care and social assistance
Company size
5,001 - 10,000 Employees
Headquarters location
Whittier, CA, US
Year founded
1959