Quality auditor checking glass quality and conducting tests for innovative glass product manufacturing. Engaging in quality assurance and troubleshooting within the production process.
About the role
- Plan Performance Auditor reviewing and analyzing transactions for compliance and accuracy at BCBSNE. Requires strong attention to detail and collaboration with operations personnel.
Responsibilities
- Perform quality reviews/audits of claim, enrollment and inquiry transactions.
- Research issues identified in reviews by performing additional investigation into applicable documentation, as well as collaborating with operations personnel.
- Communicate/report errors and findings to the appropriate stakeholders.
- Assist with other Plan Performance audit/work as needed.
- Collaborate and serve as a corporate resource to other departments or operational areas.
- Coordinate and organize daily workflow, maintain documentation, attend meetings and other administrative activities.
Requirements
- Associate's degree in business or related field and 2 years’ experience in the health care industry with claims auditing or claims processing experience
- Knowledge of medical terminology and ICD10/ CPT coding
- An equivalent combination of education and experience may be substituted for this requirement.
- The ability to meet or exceed the attendance and timeliness requirements of their departments.
- The ability to work well in a team environment and be capable of building and maintaining positive relationships with other staff, departments, and customers.
Benefits
- Remote flexibility
- Infrequent visits to the office
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
Quality Auditor/Reviewer Clinician conducting reviews of clinical records for compliance and quality. Collaborating with staff for ongoing education and quality improvement initiatives.
Lead Auditor conducting business assurance assessments for a renowned organization, ensuring compliance with accreditation in South Africa.
Night Auditor providing first contact service for guests at AC Wichita, KS. Responsible for check - in, check - out, and overall guest satisfaction during overnight shifts.
Intern supporting IT Audit projects based on COBIT and ITIL frameworks. Engaging in risk assessments and cybersecurity initiatives at RSM Brasil.
Corporate Auditor responsible for risk - oriented audits and ensuring compliance at Heraeus. Engaging with management teams to recommend improvements based on audits.
Senior Internal Auditor enhancing control environments and SOX compliance at Caris. Engaging in audits and contributing to finance and operational improvements.
Senior IT Internal Auditor focusing on SOX compliance and IT controls in a healthcare innovator. Leading audit engagements and advising on technology risks and control design.
Conducting internal audits and fraud investigations at First American. Responsible for providing insights, risk management, and technology expertise in the Internal Audit group.
Inventory Auditor verifying merchandise and cash in Company stores. Requires 1 year experience and high school diploma or GED.