Quality Auditor

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

Analyzes data to identify improvement opportunities in the appeals process

Required Qualifications

High School Diploma or equivalent

Three years of general office experience, with education in administration or business substituting for experience on a year-per-year basis

One year of experience in Qualified Independent Contractor appeals or other healthcare appeals processes

Experience in Managed Care is preferred

Resided in the United States for at least three of the last five years