Senior Quality Assurance Auditor - Provider Claims
1199seiubenefits
1199SEIU Benefits is seeking a Provider Relations Call Center Associate to audit inquiries across Vitech, QNXT, and Call Tracking systems, ensuring accurate resolution of health claim and benefit questions. You will interact with providers, hospitals, and other professionals, support supervisors, mentor staff, and help improve departmental processes while meeting performance standards. Required: high school diploma, 2+ years in a high-volume health plan call center, strong communication and #J-18808-Ljbffr 1199seiubenefits
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Senior Quality Assurance Auditor - Provider Claims in New York, NY vacancy
- A leading insurance firm is seeking an Underwriting Quality Auditor in New York City. This role involves auditing files for quality and compliance, providing constructive feedback to underwriters, and identifying training opportunities. Ideal candidates have over 5 years...Senior
$97.1k - $114.4k
The Underwriting Quality Auditor ensures the integrity, consistency... ...and process gaps, and provides actionable feedback to... ...recommendations for senior management and monitor... ...of the Quality Assurance framework. Participation... ...in quality assurance, claims, compliance, or...ClaimsFull timeWork at office$44k - $50k
..., and leadership. You Are UST HealthProof is looking for a Claims Quality Auditor with health plan claims administration operations experience... ..., coordinate with operational Team Leads and managers to provide feedback to individuals, clearly identifying errors and opportunities...ClaimsRemote jobPermanent employmentFull timeWork at office- ...of TraceGains and other QMSs. The role ensures accurate data, provides analytical reports, and offers advanced support to QMS users across... ...You will assist the BH Audit Team with food safety and product quality audits at venues including Food Service Operations, Retail...Senior
- ...the people who buy them. As a Senior Policy Forms & QA Analyst,... ...regulatory responses, and run the quality assurance that confirms our systems... ..., Pricing, Actuarial, Claims and Technology on changes that... ...means Branchers, too. So we provide benefits that let you work and...SeniorClaimsFull timeContract workWork at officeRemote workWork from homeWork visaFlexible hours
$135.79k - $178.23k
Hi, we're Oscar. We're hiring a Senior Manager, Revenue Cycle Management to join our Provider Operations team.Oscar is the first... ...in revenue capture, claims performance, coding accuracy, and... ...Certified Professional Medical Auditor (CPMA), or comparable coding/revenue...SeniorClaimsFull timeWork at officeFlexible hoursOscar Health Insurance
New York, NY4 days ago$172.67k
...Island Rail RoadJob Title: Senior Manager Elevator and Escalator... ...maintenance contractors, quality control & assurance measurements, Technical... ...accident investigation and claims investigations.Select, develop... ...personnel within the department. Provide career development for...SeniorClaimsContract workFor contractorsMetropolitan Transit Authority
New York, NY2 days ago- ...opportunity to join AXIS Capital - a trusted global provider of specialty lines insurance and reinsurance. We... ...by the laws that govern its operations. Senior Manager, Quality Assurance and Audit, North America Claims Reporting to the Head of Quality Assurance and Compliance...SeniorClaimsWork at office
- ...to work being proud of what you do every day. The Senior Director of Claims provides strategic and operational leadership for the Claims Department... ...administration, processing, configuration testing, quality assurance, auditing, provider reimbursement accuracy, delegated...SeniorClaimsTemporary work
MetroPlusHealth
New York, NY4 days ago - The Senior Provider Configuration Analyst will be responsible for the configuration of MetroPlusHealth’s systems to ensure that claims are processed according to Provider contracts. Scope Of Role & Responsibilities Configure provider reimbursement and create and maintain...SeniorClaimsContract workTemporary work
- ...Description Crawford & Company is a global provider of claims management and outsourcing solutions,... ...company focuses on delivering high-quality services through standardized... ...work. Role Description The Quality Assurance Specialist is a full-time remote role...ClaimsFull timeRemote work
Jobrapido
New York, NY1 day ago $20 - $30 per hour
...contractor role, you will work as a Kannada Quality Assurance Lead (QAL) to oversee quality,... ...output quality against project guidelines, provide precise written feedback, and ensure that... ...phrasing, unnatural tone, hallucinated claims, ambiguity, or inconsistent terminology...ClaimsHourly payFor contractorsRemote workBrain Trust Inc
New York, NY2 days ago$120k - $160k
...the Job We are seeking an experienced Senior Quality Systems Specialist to join Synchron’s Quality... ...of audit findings, interactions with auditors through all stages of audits, and... ...environment for all employees and applicants and provide equal employment opportunities without...SeniorFull timeTemporary workFor contractorsInternshipFlexible hoursSynchron LLC
New York, NY3 days ago$84.21k - $105.26k
...Senior Quality Specialist Job ID: 16170 Business Unit: MTA Construction & Development Location: New York, NY, United States Regular... ...of hire. S ummary The Senior Quality Specialist will provide quality oversight and support for MTA C&D projects and...SeniorTemporary workFor contractorsWork at officeRemote workWeekend workAfternoon shift1 day per weekMTA, Inc.
New York, NY3 days ago- Sedgwick is seeking a Quality Control Representative for Heavy Equipment/Specialty to ensure accuracy, consistency, and regulatory compliance across claim files. You will perform detailed audits and support continuous improvement initiatives within the team. The role requires...Claims
$20 - $30 per hour
...contractor role, you will work as a Gujarati Quality Assurance Lead (QAL) to oversee quality,... ...output quality against project guidelines, provide precise written feedback, and help... ...phrasing, unnatural tone, hallucinated claims, ambiguity, or inconsistent terminology...ClaimsHourly payFor contractorsRemote workBrain Trust Inc
New York, NY2 days ago- MMS is a data-focused clinical research organization with a global footprint, known for its culture and patient-focused approach to trials. This role focuses on ensuring GCP compliance, planning and conducting audits, and driving CAPA actions across sites and vendors. The...Senior
- ...partner is looking for a Senior QA Tester based in the... ...role in ensuring the quality, reliability, accessibility... ..., budgeting, and claims processing. Working across... ...identify defects, and provide clear recommendations for... ...experience in Quality Assurance and software testing....SeniorClaimsLocal areaRemote work
- ...Support the development and maintenance of quality improvement related projects and... ...improvement plans with management Train providers and staff in methodologies and tools of... ...Send and Track medical record requests Claims research Detailed tracking of pends status...ClaimsTemporary work
$29.69 - $49.49 per hour
...In this Physician Coder Quality Associate position, you bring... ...denials, identifies trends, and provides solutions to help support mid... ...health record(s) and for quality assurance in the alignment of clinical... ...of billing codes prior to claim submission to third party payers...ClaimsWork experience placementLive inWork at officeLocal areaRemote workShift work$140k - $160k
...help millions back to good mental health by providing fully digital, non-drug options for the... ...treatments in the US health system. The Senior Manager, Provider Experience and Clinical... ...revenue cycle workflows (e.g., charge capture, claims submission, payer coordination) across...SeniorClaimsFull timeContract workRemote workWorldwideFlexible hours$82.94k - $182.55k
...accountable and prioritize safety and quality in everything we do. Join us... ...for members and clients. The Senior Manager, Quality Engineering... ...across the ACAS (Aetna Claim Adjudication System) benefits... ...configuration decisions by providing early quality and risk insights...SeniorClaimsHourly payFull timeTemporary workWork experience placementLocal areaShift work$50k - $60k
...you’ll feel right at home here. TITLE: Quality Assurance Specialist REPORTS TO: Project Director... ...Director as well as the Workforce Board to provide financial compliance guidance and... ...injured or ill; (f) workers' compensation claims management; (g) employee job...ClaimsFull timeFor contractorsSecond jobWork at officeLocal areaRemote workFlexible hoursCareer-Team-36cf2150
New York, NY17 hours ago- Planet Group in Southwest Boston seeks a Senior Specialist, Quality Assurance (QA) to provide hands-on quality oversight for QC instrument activities in a regulated GMP environment. You will review qualification documents, support data integrity, and ensure inspection...Senior
- Summary Provides education to medical providers as warranted. Description Logistics: Palmetto GBA- one of BlueCross BlueShield's South... ...consultant experience. Preferred Skills and Abilities: Knowledge of claims processing software. In-depth knowledge of Medicare program,...SeniorClaimsFull timeFor contractorsWork experience placementWork at officeLocal areaRemote workShift workNight shiftWeekend work3 days per weekWeekday work
$60k - $65k
...As an integrated community of claims and restoration experts, we’... ...for reviewing and delivering quality work products and ensuring claims... ...the estimating product Provide constructive feedback and assist... ...education Tracking quality assurance metrics. Other duties as assigned...ClaimsFor contractorsRemote workFlexible hoursAfternoon shift- Senior Quality Specialist Overview LabConnect improves lives by partnering with pharmaceutical... ...complex trials. Additionally, we provide Functional Service Provider (FSP) Solutions... ...opportunities and projects Assists management in assuring organizational readiness for regulatory...SeniorTemporary workLive outWork at officeFlexible hours
$10k - $20k
...system smarter. THE ROLE As a Creative Quality Assurance Specialist, you will be responsible for... ...involving logos, product claims, pricing, calls to action, DISCLAIMERS,... ...communication skills and the ability to provide clear, concise, and constructive feedback...ClaimsFull timeRemote work- Senior Quality Specialist Forward Financing is a Boston-based financial technology company with an operational hub in the Dominican Republic... ...Builders: We are wired to fuel customer progress, not just provide support. Rooted in People: We create an environment that...SeniorWork at officeFlexible hours
$40 - $55 per hour
...contractor role, you will work as a Japanese Quality Assurance Lead (QAL) to oversee quality,... ...output quality against project guidelines, provide precise written feedback, and ensure... ...keigo, ambiguous references, hallucinated claims, or inconsistent terminology....ClaimsRemote jobHourly payFor contractorsImmediate start
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Quality Assurance Auditor - Provider Claims. Be the first to apply!
Related searches
- quality auditor New York, NY
- warehouse quality control associate New York, NY
- quality system auditor New York, NY
- quality specialist New York, NY
- quality review specialist New York, NY
- quality compliance specialist New York, NY
- quality assurance auditor New York, NY
- quality systems specialist New York, NY
- quality management specialist New York, NY
- quality associate New York, NY