Claims Quality Audit Supervisor jobs in Massachusetts

Claims Quality Audit Supervisor supervises and coordinates daily activities of claims quality auditors. Provides assistance in developing claims audit policies and procedures. Being a Claims Quality Audit Supervisor solves day-to-day problems and monitors the results of daily staff activities, reports critical issues and problems to the management. Typically requires a bachelor's degree. Additionally, Claims Quality Audit Supervisor typically reports to a manager. The Claims Quality Audit Supervisor supervises a group of primarily para-professional level staffs. May also be a level above a supervisor within high volume administrative/ production environments. Makes day-to-day decisions within or for a group/small department. Has some authority for personnel actions. Thorough knowledge of department processes. To be a Claims Quality Audit Supervisor typically requires 3-5 years experience in the related area as an individual contributor. (Copyright 2024 Salary.com)

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Claims Specialist, Audit & Contracting
  • LogixHealth
  • Bedford, MA FULL_TIME
  • Location: On-Site in Bedford, MA

    This Role:

    As a Claims Specialist, you will work with internal teams to provide cutting-edge solutions that will directly improve the healthcare industry. You’ll contribute to our fast-paced, collaborative environment and will bring your expertise to review and carry out processes on all out of network claims.

    The ideal candidate will have strong technological skills, excellent interpersonal communication, and a well-rounded knowledge of insurance payers.

    Key Responsibilities:

    • Review, organize, and file IDR emails and complete responses
    • Monitor and track fee requests from arbitrators, and compile and send supporting documentation to arbitrator
    • Work automation reports
    • Sort and file Good Faith negotiations and respond to carrier and/or arbitrator inquires
    • Submit claims through state arbitration portals

    Qualifications:

    To perform this job successfully, an individual must be able to perform each Key Responsibility satisfactorily. The following requirements are representative of the knowledge, skills, and/or ability required to perform this job successfully. Reasonable accommodation may be made to enable individuals with disabilities to perform the duties.

    Required:

    • A well-rounded knowledge of insurance payers
    • Ability to communicate effectively verbally and in writing
    • Ability to create routine reports
    • Prior word processing, spreadsheet and internet software experience including proficiency with MS Teams, Word, Excel, and Outlook

    Preferred:

    • One to two years related experience
    • Healthcare industry knowledge
    • Medical billing experience

    Benefits at LogixHealth:

    We offer a comprehensive benefits package including health, dental and vision, 401(k), PTO, paid holidays, life and disability insurance, on-site fitness center and company-wide social events.

    About LogixHealth:

    At LogixHealth we provide expert coding and billing services that allow physicians to focus on providing great clinical care. LogixHealth was founded in the 1990s by physicians to service their own practices and has grown to become the nation’s leading provider of unsurpassed software-enabled revenue cycle management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for clients in 40 states.

    Since our first day, we have had a clear vision of a better healthcare system and have continually evolved to get there. In addition to providing expert revenue cycle services, we utilize proprietary software to provide valuable financial, clinical, and other data insights that directly improve the quality and efficiency of patient care.

    At LogixHealth, we’re committed to Making intelligence matter through our pillars of Physician-Inspired Knowledge, Unrivaled Technology and Impeccable Service.

    To learn more about us, visit our website

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  • 9 Days Ago

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Audit Supervisor
  • Off of State Treas & Rec Genrl
  • Boston, MA FULL_TIME
  • About the Office of the Massachusetts State Treasurer and Receiver General (“Treasury”) Our mission is to manage and safeguard the State's public deposits and investments through sound business practi...
  • 2 Days Ago

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Audit Supervisor
  • Complete Staffing Solutions
  • Canton, MA FULL_TIME
  • hybrid Basis – In and Out of office$100K- $105KWhy is the role open? Growth and PromotionsWho the role reports too? Audit ManagerHybrid? yes 2 in 3 outSalary and if there is a bonus? 100-105 salary,no...
  • 7 Days Ago

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Audit Supervisor
  • Office of the State Treasurer and Receiver General
  • Boston, MA FULL_TIME
  • About the Office of the Massachusetts State Treasurer and Receiver General (“Treasury”) Our mission is to manage and safeguard the State's public deposits and investments through sound business practi...
  • 1 Month Ago

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Claims Supervisor
  • Murphy Insurance Agency
  • Hudson, MA FULL_TIME
  • DescriptionLooking for a leadership opportunity in a vibrant office setting? Explore our independent, family-owned Agency situated in popular downtown Hudson, MA, and discover the benefits of joining ...
  • 3 Days Ago

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Quality Control Audit Manager
  • SECURE RPO
  • Canton, MA FULL_TIME
  • Quality Control Audit Manager Canton Massachusetts 2 days onsite A strong Auditor in this role will oversee and manage multiple audits, reviews, compilations, and client engagements from the planning ...
  • 4 Days Ago

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Quality Supervisor
  • Stellantis
  • Sterling Heights, MI
  • The Quality Supervisor is an integral part of a company whose focus is to change the automotive landscape. The Superviso...
  • 6/12/2024 12:00:00 AM

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Quality Supervisor
  • Kimber Mfg., Inc.
  • Troy, AL
  • Kimber Mfg., Inc. Job Description Job Title: Supervisor of Quality Control Location: Troy, AL Classification: Exempt Gra...
  • 6/12/2024 12:00:00 AM

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Quality Supervisor
  • Resource Label Group, Inc
  • Minneapolis, MN
  • Overview: Resource Label Group, LLC is a leading full-service provider of label and packaging solutions with a diverse p...
  • 6/12/2024 12:00:00 AM

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Quality Supervisor
  • Hiring Now!
  • Westminster, SC
  • PRIMARY FUNCTION: This role ensures that all manufactured products meet or exceed customer expectations and Company Qual...
  • 6/12/2024 12:00:00 AM

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Quality Supervisor
  • US Engine Valve
  • Richland, SC
  • PRIMARY FUNCTION: This role ensures that all manufactured products meet or exceed customer expectations and Company Qual...
  • 6/12/2024 12:00:00 AM

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Quality Supervisor
  • Hearthside Foods
  • London, KY
  • Founded in 2009 and headquartered in Downers Grove, IL we are a world-class contract manufacturer producing wholesome ba...
  • 6/11/2024 12:00:00 AM

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Quality Supervisor
  • Refresco
  • Waco, TX
  • Make a Difference in YOUR Career! Our vision is both simple and ambitious: to put our drinks on every table. We are the ...
  • 6/10/2024 12:00:00 AM

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Quality Supervisor
  • Intralox
  • New Orleans, LA
  • Quality Supervisor Location: New Orleans, LA Category Manufacturing & Production Division Intralox Hours 7:00am-4:00pm, ...
  • 6/9/2024 12:00:00 AM

Massachusetts is the 7th-smallest state in the United States. It is located in the New England region of the northeastern United States and has an area of 10,555 square miles (27,340 km2), 25.7% of which is water. Several large bays distinctly shape its coast. Boston is the largest city, at the inmost point of Massachusetts Bay, and the mouth of the Charles River. Despite its small size, Massachusetts features numerous topographically distinctive regions. The large coastal plain of the Atlantic Ocean in the eastern section of the state contains Greater Boston, along with most of the state's po...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Audit Supervisor jobs
$79,220 to $99,265

Claims Quality Audit Supervisor in Provo, UT
Based on our compensation data, the estimated salary potential for Claims Quality Audit Supervisor will increase 16 % over 5 years.
January 29, 2020