Claims Quality Auditor jobs in San Bernardino, CA

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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Quality Auditor
  • Loma Linda University Health
  • Loma Linda, CA FULL_TIME
  • Job Summary: The Quality Auditor will be responsible for auditing departmental workflows and functions, ensuring the highest level of service is being delivered at all times. Provides feedback and support data related to quality of service and operational applications. Provides trends of errors and recommends process improvements to reduce or eliminate errors. Performs other duties as needed.

    Education and Experience: High School Diploma or GED required. Bachelor's Degree preferred. Minimum two years of experience in a customer service environment required; preferably in Healthcare.

    Knowledge and Skills: Able to keyboard 40 wpm. Able to read; write legibly; speak in English with professional quality; use computer, printer, and software programs necessary to the position (e.g., Word, Excel, Outlook, PowerPoint). Operate/troubleshoot basic office equipment required for the position. Able to relate and communicate positively, effectively, and professionally with others; work calmly and respond courteously when under pressure; collaborate and accept direction. Able to communicate effectively in English in person, in writing, and on the telephone; think critically; manage multiple assignments effectively; organize and prioritize workload; work well under pressure; problem solve; recall information with accuracy; pay close attention to detail; work independently with minimal supervision. Able to distinguish colors as necessary; hear sufficiently for general conversation in person and on the telephone, and identify and distinguish various sounds associated with the workplace; see adequately to read computer screens, and written documents necessary to the position.

    Licensures and Certifications: Valid Driver's License required at time of hire.





    Loma Linda University and Health System is an equal opportunity employer committed to the principles of diversity. We provide equal opportunities in all aspects of the employment process to every individual, regardless of gender, race, color, age, national origin, ancestry, physical or mental disability, marital or veteran status, genetic information or any other characteristic protected by law. In addition, we will provide reasonable accommodations for otherwise qualified individuals requesting an accommodation due to a disability. If you need accommodation assistance with accessing our job listings or completing an application, or during any other phase of employment with us, please contact Human Resources Talent Acquisition at 909-651-4001 or 909-558-4006 (TTY).

     

  • 25 Days Ago

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Quality Auditor
  • Loma Linda
  • Loma Linda, CA FULL_TIME
  • Job Summary: The Quality Auditor will be responsible for auditing departmental workflows and functions, ensuring the highest level of service is being delivered at all times. Provides feedback and sup...
  • 25 Days Ago

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Quality Assurance Auditor
  • Loma Linda University Health
  • Loma Linda, CA FULL_TIME
  • Job Summary: The Auditor -Quality Assurance receives and investigates reports of privacy and security violations, inquires, complaints, concerns and ensures they are handled appropriately and in a tim...
  • 7 Days Ago

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Quality Assurance Auditor
  • Loma Linda
  • Loma Linda, CA FULL_TIME
  • Job Summary: The Auditor -Quality Assurance receives and investigates reports of privacy and security violations, inquires, complaints, concerns and ensures they are handled appropriately and in a tim...
  • 25 Days Ago

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Claims Quality / Audit Representative - Redlands, CA
  • UnitedHealth Group
  • Redlands, CA FULL_TIME
  • If you are in Redlands, CA, you will have the flexibility to work from home and the office in this hybrid role* as you take on some tough challenges. Optum is a global organization that delivers care,...
  • 29 Days Ago

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RN - Telemetry
  • Quality Clinicians
  • Apple Valley, CA FULL_TIME
  • We are travelers building the kind of agency we always wanted, while we still work assignments. Pay Package: Weekly Pay Range: $1300 - $2300/week Multiple shift openings Job Description/Responsibiliti...
  • 4 Days Ago

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0 Claims Quality Auditor jobs found in San Bernardino, CA area

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Quality Manager
  • Viant Medical
  • Upland, CA
  • New employees are eligible for the following benefits effective date of hire!* Medical, dental, and vision benefits* Com...
  • 4/22/2024 12:00:00 AM

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Sr. QA Specialist
  • Dechra Pharmaceuticals
  • Pomona, CA
  • Job Introduction Thanks for checking out our vacancy, we're delighted you want to learn more about Dechra. Dechra isa gr...
  • 4/22/2024 12:00:00 AM

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Sr. QA Specialist
  • Dechra Pharmaceuticals
  • Pomona, CA
  • Job IntroductionThanks for checking out our vacancy, we're delighted you want to learn more about Dechra.Dechra isa grow...
  • 4/22/2024 12:00:00 AM

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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, ...
  • 4/21/2024 12:00:00 AM

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Customer Service Quality Auditor - Call Center *$1,000 Sign-On Bonus*
  • Missionheritage
  • Brea, CA
  • ** Customer Service Quality Auditor - Call Center *$1,000 Sign-On Bonus*** **** New **We are looking for Customer Servic...
  • 4/21/2024 12:00:00 AM

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Quality Manager (Printing)
  • All American Label
  • Brea, CA
  • Apply Job Type Full-time Description Imprimus Labels and Packaging is a well-established, highly reputable leader in the...
  • 4/20/2024 12:00:00 AM

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Quality and EHS Administrator
  • MANUFACTURING
  • Ontario, CA
  • Job Description Job Description We are a fast-paced manufacturing company located in Ontario, California and are current...
  • 4/19/2024 12:00:00 AM

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Quality Manager *** Printing Industry
  • Empire Workforce Solutions, Skilled Trade Staffing Division
  • Brea, CA
  • Job Description Job Description JOB DESCRIPTION: Quality Manager*** Printing Industry 1st Shift Pay: $95k-$110k Location...
  • 4/19/2024 12:00:00 AM

According to the United States Census Bureau, the city has a total area of 59.6 square miles (154 km2), of which 59.2 square miles (153 km2) is land and 0.4 square miles (1.0 km2), or 0.74%, is water. The city lies in the San Bernardino foothills and the eastern portion of the San Bernardino Valley, roughly 60 miles (97 km) east of Los Angeles. Some major geographical features of the city include the San Bernardino Mountains and the San Bernardino National Forest, in which the city's northernmost neighborhood, Arrowhead Springs, is located; the Cajon Pass adjacent to the northwest border; City...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$48,554 to $59,512
San Bernardino, California area prices
were up 3.0% from a year ago

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