A company is looking for a Quality Auditor.
Key Responsibilities
Performs audits and examinations of case files to identify inaccuracies and non-compliance issues
Shares educational feedback, trends, and insights with staff
Conducts data analysis to identify improvement opportunities in the appeals process
Required Qualifications
High School Diploma or equivalent
Three (3) years of general office experience, with education in administration or business substituting for experience on a year-per-year basis
One (1) year of experience in Qualified Independent Contractor (QIC) appeals or other healthcare appeals processes
Experience with Medicare Part D is preferred
Quality Auditor • Fresno, California, United States