Tpa Auditor Jobs (NOW HIRING)

Medical Plan Benefit Configuration Auditor Our client is looking for a meticulous and analytical ... within a TPA or health insurance payer environment. You have a thorough understanding of ...

Interaction Auditing: Conduct comprehensive quality audits of inbound and outbound call center interactions, ensuring accuracy, regulatory compliance, and adherence to TPA standard operating ...

Annual and desk auditing of TPAs, including preparation and presentation of audit reports and findings. * Assist in the due diligence audit of potential TPAs and the subsequent onboarding of the TPA.

Order, organize, deliver, and facilitate returns of uniforms for both TPA and PIE. * Weekly completion of reporting and auditing on GPS and Travel Tab inventory * Reclassification of Customer ...

Order, organize, deliver, and facilitate returns of uniforms for both TPA and PIE. * Weekly completion of reporting and auditing on GPS and Travel Tab inventory * Reclassification of Customer ...

Order, organize, deliver, and facilitate returns of uniforms for both TPA and PIE. * Weekly completion of reporting and auditing on GPS and Travel Tab inventory * Reclassification of Customer ...

Order, organize, deliver, and facilitate returns of uniforms for both TPA and PIE. * Weekly completion of reporting and auditing on GPS and Travel Tab inventory * Reclassification of Customer ...

Order, organize, deliver, and facilitate returns of uniforms for both TPA and PIE. * Weekly completion of reporting and auditing on GPS and Travel Tab inventory * Reclassification of Customer ...

Order, organize, deliver, and facilitate returns of uniforms for both TPA and PIE. * Weekly completion of reporting and auditing on GPS and Travel Tab inventory * Reclassification of Customer ...

Key Responsibilities Carrier & TPA Compliance Management * Maintain a thorough understanding of ... Quality Assurance & Auditing * Conduct routine audits of active and completed jobs for carrier and ...

Key Responsibilities Carrier & TPA Compliance Management * Maintain a thorough understanding of ... Quality Assurance & Auditing * Conduct routine audits of active and completed jobs for carrier and ...

Authorize checks for amount of liability and communicate to TPA/client reasons for any amounts not covered by excess policy. * Refer large-dollar claims and trigger diagnosis to preliminary claims ...

Assists in auditing of case and benefit plan builds or other special projects. * Enhances knowledge ... TPA or equivalent experience in health/specialty benefits claims processing and/or customer service ...

Authorize checks for amount of liability and communicate to TPA/client reasons for any amounts not covered by excess policy. * Refer large-dollar claims and trigger diagnosis to preliminary claims ...

Authorize checks for amount of liability and communicate to TPA/client reasons for any amounts not covered by excess policy. * Refer large-dollar claims and trigger diagnosis to preliminary claims ...

Authorize checks for amount of liability and communicate to TPA/client reasons for any amounts not covered by excess policy. * Refer large-dollar claims and trigger diagnosis to preliminary claims ...

Proven track record of managing a 340B program, including a minimum of one full-cycle TPA software ... Establish automated internal auditing procedures, continuous data validation routines, and ...

Proven track record of managing a 340B program, including a minimum of one full-cycle TPA software ... Establish automated internal auditing procedures, continuous data validation routines, and ...

... and TPA oversight audit program. The role will also coordinate, oversee, and enhance the North ... Experience auditing specialty claim files across multiple lines of business and supporting ...

... and TPA oversight audit program. The role will also coordinate, oversee, and enhance the North ... Experience auditing specialty claim files across multiple lines of business and supporting ...