Los Angeles, CA · On-site
$31.51 - $62.64/hr
The Claims Quality Auditor will be responsible for the daily audit of all examiners assigned to the auditor. You will review claims (paid, pending, and denied) for accuracy, appropriate application ...
Los Angeles, CA · On-site
$31.51 - $62.64/hr
The Claims Quality Auditor will be responsible for the daily audit of all examiners assigned to the auditor. You will review claims (paid, pending, and denied) for accuracy, appropriate application ...
The Quality Auditor performs audits of an assigned group of transactions (claims, enrollment, premium billing, paper claims and correspondence scanning) across Medicaid managed care, managed ...
The Quality Auditor performs audits of an assigned group of transactions (claims, enrollment, premium billing, paper claims and correspondence scanning) across Medicaid managed care, managed ...
Los Angeles, CA · On-site
$31.51 - $62.64/hr
The Claims Quality Auditor will be responsible for the daily audit of all examiners assigned to the auditor. You will review claims (paid, pending, and denied) for accuracy, appropriate application ...
Los Angeles, CA · On-site
$31.51 - $62.64/hr
The Claims Quality Auditor will be responsible for the daily audit of all examiners assigned to the auditor. You will review claims (paid, pending, and denied) for accuracy, appropriate application ...
Be Seen First
Houston, TX · On-site
$25/hr
Medical Claims Quality Auditor $25/hr | Houston Heights Area | Full-Time | Contract to Hire Join a leading healthcare services organization that specializes in medical claims dispute resolution and ...
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Be Seen First
Houston, TX · On-site
$25/hr
Medical Claims Quality Auditor $25/hr | Houston Heights Area | Full-Time | Contract to Hire Join a leading healthcare services organization that specializes in medical claims dispute resolution and ...
$44K - $50K/yr
The Quality Auditor performs audits of an assigned group of transactions (claims, enrollment, premium billing, paper claims and correspondence scanning) and will interact with the client audit team ...
$44K - $50K/yr
The Quality Auditor performs audits of an assigned group of transactions (claims, enrollment, premium billing, paper claims and correspondence scanning) and will interact with the client audit team ...
The Claims Quality Auditor is responsible for providing Quality Assurance of processed claims. Operational processes must be reviewed for accuracy to ensure adherence and quality output for our ...
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The Claims Quality Auditor is responsible for providing Quality Assurance of processed claims. Operational processes must be reviewed for accuracy to ensure adherence and quality output for our ...
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 Control Auditor ensures organizational claim processing complies with contractual and regulatory requirements. The position performs audit functions for "internal and external ...
The Claims Quality Control Auditor ensures organizational claim processing complies with contractual and regulatory requirements. The position performs audit functions for "internal and external ...
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 ...
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 ...
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 ...
Some Experience The Claims Quality Control Auditor ensures organizational claim processing complies with contractual and regulatory requirements. The position performs audit functions for "internal ...
Some Experience The Claims Quality Control Auditor ensures organizational claim processing complies with contractual and regulatory requirements. The position performs audit functions for "internal ...
The Claims Quality Control Auditor ensures organizational claim processing complies with contractual and regulatory requirements. The position performs audit functions for "internal and external ...
The Claims Quality Control Auditor ensures organizational claim processing complies with contractual and regulatory requirements. The position performs audit functions for "internal and external ...
... Quality Auditor is responsible for the timely and accurate review of various tasks performed by Operations (including, but not limited to, Claims). Work Arrangement: * Hybrid- Associate must be in ...
... Quality Auditor is responsible for the timely and accurate review of various tasks performed by Operations (including, but not limited to, Claims). Work Arrangement: * Hybrid- Associate must be in ...
The Claims Quality Control Auditor ensures organizational claim processing complies with contractual and regulatory requirements. The position performs audit functions for "internal and external ...
The Claims Quality Control Auditor ensures organizational claim processing complies with contractual and regulatory requirements. The position performs audit functions for "internal and external ...
Fresno, CA · On-site
$35.72 - $45.45/hr
The Team Leader Claims Quality Assurance Auditor-Trainer leads training and quality assurance programs and provides technical leadership in evaluating health insurance claims processing for accuracy ...
New
Fresno, CA · On-site
$35.72 - $45.45/hr
The Team Leader Claims Quality Assurance Auditor-Trainer leads training and quality assurance programs and provides technical leadership in evaluating health insurance claims processing for accuracy ...
New
Fresno, CA · On-site
$35.72 - $45.45/hr
Responsibilities The Team Leader Claims Quality Assurance Auditor-Trainer leads training and quality assurance programs and provides technical leadership in evaluating health insurance claims ...
New
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Fresno, CA · On-site
$35.72 - $45.45/hr
Responsibilities The Team Leader Claims Quality Assurance Auditor-Trainer leads training and quality assurance programs and provides technical leadership in evaluating health insurance claims ...
New
Auditor Oversight & Productivity Tracking * Monitor auditor productivity, ensuring audit volume and coverage targets are completed and tracked accurately across the claims and enrollment audit teams.
Auditor Oversight & Productivity Tracking * Monitor auditor productivity, ensuring audit volume and coverage targets are completed and tracked accurately across the claims and enrollment audit teams.
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 ...
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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 ...
Buffalo, NY · On-site
That is where Centivo comes in -- our mission is to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Centivo is seeking a Claims Auditor who will ...
Buffalo, NY · On-site
That is where Centivo comes in -- our mission is to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Centivo is seeking a Claims Auditor who will ...
Buffalo, NY · Remote
$55K - $60K/yr
That is where Centivo comes in -- our mission is to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Centivo is seeking a Claims Auditor who will ...
Quick apply
Buffalo, NY · Remote
$55K - $60K/yr
That is where Centivo comes in -- our mission is to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Centivo is seeking a Claims Auditor who will ...
$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
| Aspect | Claims Quality Auditor | Claims Examiner |
|---|---|---|
| Primary Role | Reviews and assesses the accuracy and compliance of claims to improve quality | Processes and evaluates individual insurance claims for approval or denial |
| Required Credentials | Typically requires insurance or claims processing certifications, attention to detail | Often requires similar certifications, with focus on claim evaluation skills |
| Work Environment | Quality assurance teams, office settings, audits of claims files | Claims departments, customer service environments, direct claim processing |
While both roles involve claims, Claims Quality Auditors focus on reviewing and improving claim accuracy and compliance, whereas Claims Examiners handle the initial processing and decision-making on individual claims. Understanding these differences helps in choosing the right career path or job search focus.
For Claims Quality Auditor jobs, the most frequently searched job titles are:
Los Angeles, CA • On-site
$31.51 - $62.64/hr
Other
Posted 8 days ago
Take on an important role within a world-class health organization. Provide specialized expertise that enables the efficient operation of a complex health system. Take your career to the next level. You can do all this and more at UCLA Health.
The Claims Quality Auditor will be responsible for the daily audit of all examiners assigned to the auditor. You will review claims (paid, pending, and denied) for accuracy, appropriate application of benefits, authorization for services, contract interpretation, Division of Financial Responsibility (DOFR), and application/compliance with policies and procedures. You will:
Salary Range: $31.51 - $62.64 Hourly
