Claims Quality Auditor
Company: VirtualVocations
Location: Metairie
Posted on: March 13, 2025
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Job Description:
A company is looking for a Claims Quality Auditor.
Key Responsibilities
Perform audits of transactions processed by health plan
administration associates
Share quality assurance results with associates and provide
feedback on errors and improvement opportunities
Maintain current knowledge of CMS claims processing rules and
guidelines for relevant health plans
Required Qualifications
High School Diploma or GED required
3 years of health plan claims auditing operations experience
required
Medicaid claims auditing experience preferred
Proficiency in MS Suite, especially Excel, PowerPoint, and
Outlook
Ability to analyze contractual SLAs and KPIs
Keywords: VirtualVocations, Metairie , Claims Quality Auditor, Accounting, Auditing , Metairie, Louisiana
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