Quality Auditor

Job Summary

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