Claims Quality Auditor jobs in Florida

Claims Quality Auditor audits claims for coding accuracy, benefit payment, contract interpretation, and compliance with policies and procedures. Selects claims through random processes and/or other criteria. Being a Claims Quality Auditor makes recommendations to improve quality, workflow processes, policies and procedures. Typically requires an associate degree. Additionally, Claims Quality Auditor typically reports to a supervisor or a manager. The Claims Quality Auditor gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Claims Quality Auditor typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

F
Auditor
  • Florida Auditor General
  • Tallahassee, FL FULL_TIME
  • An Auditor performs responsible professional work in conducting financial audits, operational audits, performance audits, and other engagements at State agencies, educational entities, and local governmental units. Applicants with professional experience may be considered for a higher-level position.

    Job duties include:

    • Determining compliance with applicable laws, established policies, plans, and procedures, including State laws, Florida Administrative Code, Federal rules and regulations, and entity-specific policies and procedures.
    • Determining compliance with GAAP, GAGAS, and other accounting or auditing-related authoritative sources.
    • Compiling statistical data.
    • Performing basic and complex data analysis.
    • Working with a team of auditors.
    • Communicating with team members and auditees.
    • Other duties as required.

    We operate within a hybrid work environment; staff may work from home during some of their work week.

    The Auditor General offers a competitive benefits package.

    Job Type: Full-time

    Pay: From $52,000.00 per year

    Benefits:

    • Dental insurance
    • Disability insurance
    • Flexible schedule
    • Flexible spending account
    • Health insurance
    • Health savings account
    • Life insurance
    • Paid time off
    • Parental leave
    • Tuition reimbursement
    • Vision insurance

    Schedule:

    • 8 hour shift
    • Monday to Friday

    Application Question(s):

    • Do you currently meet the educational requirements for CPA licensure (i.e., 150 semester hours, including 30 hours of upper division accounting classes and 36 hours of upper division general business classes with some limited exceptions for lower division classes)?

    Meeting these educational requirements may involve, for example, completing a Master's degree in accounting, a Bachelor's degree in accounting and another business-related degree, or a Bachelor's degree in accounting and additional relevant accounting and general business coursework.

    Education:

    • Bachelor's (Required)

    License/Certification:

    • CPA (Preferred)

    Work Location: Hybrid remote in Tallahassee, FL 32399

  • 22 Days Ago

H
Quality Auditor
  • H&H
  • Fort Lauderdale, FL FULL_TIME
  • We are offering an exciting opportunity for a Quality Auditor to join the H&H Quality Department in our Fort Lauderdale, FL office.The Quality Auditor will carry out internal H&H project audits for on...
  • 8 Days Ago

F
Claims And Benefits Adjudication Auditor
  • Florida Health Care Plans, Inc.
  • Daytona Beach, FL FULL_TIME
  • POSITION SUMMARY: This position is responsible for maintaining claims data quality through ongoing quality review and assessment of medical records to ensure appropriate procedures were received. Perf...
  • 17 Days Ago

F
Remote- Claims And Benefits Adjudication Auditor
  • Florida Health Care Plans
  • Daytona Beach, FL FULL_TIME
  • This position is Remote after training in our Daytona Beach office location. Remote only within our 5 county coverage area.POSITION SUMMARY:This position is responsible for maintaining claims data qua...
  • 10 Days Ago

F
Claims Quality Assurance Specialist
  • Frontline Insurance
  • Lake, FL FULL_TIME
  • Join our dynamic team of innovators, creators, and problem solvers! At Frontline Insurance, we're on a mission to Make Things Better! We believe in fostering a collaborative, inclusive, and growth-ori...
  • 18 Days Ago

S
Manager Quality and Claims
  • Sheffield Metals International
  • Orlando, FL FULL_TIME
  • Job DescriptionManager, Quality and ClaimsThe preferred location for this position is Dallas/Fort Worth/Arlington, Atlanta or Orlando.The Quality and Claims Manager is a key member of the Sheffield Me...
  • 19 Days Ago

R
Quality Auditor
  • ResourceMFG
  • Jacksonville, FL
  • summary ResourceMFG is now hiring Quality Auditors in Lafayette! Pay and Hours: 2nd Shift: 2:30pm-11pm-$20/hr Job Descri...
  • 6/11/2024 12:00:00 AM

T
Quality Auditor
  • Texas Children's Hospital
  • Bellaire, TX
  • Job Summary We are searching for a Quality Auditor - Benefits, Contracts, Fee Schedules Configuration/Testing - someone ...
  • 6/11/2024 12:00:00 AM

L
Quality Auditor
  • Loma Linda University Health
  • Loma Linda, CA
  • Job Description Job Summary: The Quality Auditor will be responsible for auditing departmental workflows and functions, ...
  • 6/11/2024 12:00:00 AM

H
Quality Auditor
  • H&H
  • Fort Lauderdale, FL
  • We are offering an exciting opportunity for a Quality Auditor to join the H&H Quality Department in our Fort Lauderdale,...
  • 6/11/2024 12:00:00 AM

C
Quality Auditor
  • Catalent Pharma Solutions
  • Madison, WI
  • **Quality Auditor** **Position Summary:** Catalent is a global, high-growth, public company, and a leading partner for t...
  • 6/9/2024 12:00:00 AM

P
Quality Auditor
  • Plastipak Holdings
  • Jackson Center, OH
  • As a Plastipak Quality Auditor, you audit systems and processes as they relate to our Quality program. You play a key ro...
  • 6/8/2024 12:00:00 AM

F
Quality Auditor
  • Flextronics
  • Salt Lake City, UT
  • Job Posting Start Date 04-26-2024 Job Posting End Date 06-26-2024Flex is the diversified manufacturing partner of choice...
  • 6/8/2024 12:00:00 AM

M
Quality Auditor
  • Mauser Packaging Solutions
  • York, PA
  • JOB DESCRIPTION Responsibilities Performs quality assurance testing as required. Reviews production orders or schedules ...
  • 5/23/2024 12:00:00 AM

Florida (/ˈflɒrɪdə/ (listen); Spanish for "land of flowers") is the southernmost contiguous state in the United States. The state is bordered to the west by the Gulf of Mexico, to the northwest by Alabama, to the north by Georgia, to the east by the Atlantic Ocean, and to the south by the Straits of Florida. Florida is the 22nd-most extensive (65,755 sq mi or 170,300 km2), the 3rd-most populous (21,312,211 inhabitants), and the 8th-most densely populated (384.3/sq mi or 148.4/km2) of the U.S. states. Jacksonville is the most populous municipality in the state and the largest city by area in th...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$43,909 to $53,821

Claims Quality Auditor in Bloomington, IN
Evaluates claims activities of other departments and / or companies.
December 05, 2019