Claims Quality Auditor jobs in Dallas, TX

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)

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Claims Auditor
  • ReqRoute,Inc
  • Dallas, TX FULL_TIME
  • Role: Claims Auditor
    Location: Remote
    Term: Long Term Contract 
    • Associate should have 2 years of experience with Claims Adjudication. Should have the knowledge in manual pricing with the following types of claims.
    • Medicare inpatient hospital claims, outpatient hospital, ancillary and professional claims
    • Good knowledge in DOFR claims
    • Knowledge in EZ Cap, Optum Webstrat & Burgess pricing application is preferrable
    • Should possess good communication skills and flexible to work in shifts
    • Auditing exposure would be an added advantage
    please send resume to neeraj@reqroute.com
  • 25 Days Ago

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Quality Auditor
  • Guardiar
  • Ennis, TX FULL_TIME
  • Purpose of the Job: To audit, inspect and review all level of material used, modified, produced and shipped to customers for adherence to all applicable quality specifications, standards and criteria ...
  • 1 Month Ago

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Medical Claims Auditor I
  • TalentoHCM
  • Grand Prairie, TX FULL_TIME
  • Medical Claims Auditor I TalentoHCM is partnered with a $1b revenue organization with 10,000 employees that provides public sector technology and back-office solutions enabling $800b in healthcare spe...
  • 8 Days Ago

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Dental Claims Auditor (MB2)
  • MB2 Dental
  • Carrollton, TX FULL_TIME
  • MB2 Dental, a first-of-its-kind Dental Partnership Organization (DPO) founded in 2007 and based in Carrollton, TX, is actively hiring a Dental Claims Auditor. This is an excellent opportunity to work ...
  • Just Posted

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Senior Quality Auditor
  • Always There Personnel
  • Ennis, TX FULL_TIME
  • Bilingual Senior Quality Auditor Purpose To audit, inspect and review all level of material used, modified, produced and shipped to customers for adherence to all applicable quality specifications, st...
  • 1 Day Ago

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Quality Assurance Auditor HGES
  • HAECOHGES
  • Dallas, TX FULL_TIME
  • Job Summary The Quality Assurance Auditor conducts internal audits at the HAECO GES DFW facilities to verify compliance with HAECO, FAA, and customer policies and procedures. The Quality Assurance Aud...
  • 5 Days Ago

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0 Claims Quality Auditor jobs found in Dallas, TX area

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Quality Auditor (2nd Shift) - Grand Prairie - TX
  • Resource Personnel Consultants
  • Grand Prairie, TX
  • Quality Auditor (2nd Shift) - Grand Prairie, TX RPC Company has some amazing opportunities to get you to work as soon as...
  • 4/19/2024 12:00:00 AM

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Quality Control Representative (NJUS)
  • Executive Jet Management, Inc.
  • Dallas, TX
  • Purpose of Position NetJets Quality Control Representative helps to ensure that the NetJets maintenance group stays comp...
  • 4/19/2024 12:00:00 AM

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2nd Shift Quality Control Clerk
  • INMAR, Inc.
  • Grand Prairie, TX
  • Quality Control Clerk Pay $16/hr 2nd Shift Monday - Friday 4:00 PM - 12:30 PM Must be flexible to work overtime as neede...
  • 4/19/2024 12:00:00 AM

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Pharmacy Quality Improvement Specialist
  • Elevance Health
  • Grand Prairie, TX
  • WARNING: Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which ma...
  • 4/19/2024 12:00:00 AM

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Clinical Quality Specialist
  • GForce Life Sciences
  • Plano, TX
  • Clinical Quality Specialist, GCP, Medical Device/Pharmaceuticals Summary Our client, a global medical device company, ha...
  • 4/18/2024 12:00:00 AM

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Quality Technician
  • Canadian Solar
  • Mesquite, TX
  • Description Job Description - Canadian Solar Solutions Inc. Canadian Solar Inc. is one of the world's largest solar modu...
  • 4/18/2024 12:00:00 AM

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Plasma Center Quality Manager Trainee
  • Grifols Canada Therapeutics Inc
  • Lancaster, TX
  • ** Plasma Center Quality Manager Trainee** Location: TX-Lancaster, US Contract Type: Regular Full-Time Area: Quality Req...
  • 4/18/2024 12:00:00 AM

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QA Manager
  • ProbablyMonsters Inc
  • Dallas, TX
  • THE ROLE: We are looking for a Quality Assurance Manager to join our team. You will be responsible for leading and overs...
  • 4/17/2024 12:00:00 AM

Dallas (/ˈdæləs/), officially the City of Dallas, is a city in the U.S. state of Texas and the seat of Dallas County, with portions extending into Collin, Denton, Kaufman and Rockwall counties. With an estimated 2017 population of 1,341,075, it is the ninth most-populous city in the U.S. and third in Texas after Houston and San Antonio. It is also the eighteenth most-populous city in North America as of 2015. Located in North Texas, the city of Dallas is the main core of the largest metropolitan area in the Southern United States and the largest inland metropolitan area in the U.S. that lacks ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$45,381 to $55,623
Dallas, Texas area prices
were up 2.2% from a year ago

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