Claims Quality Auditor jobs in Farmington, NM
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)
Recently Added Claims Quality Auditor jobs
Claims Manager
- Flux Resources, LLC
-
Las Vegas, NM
FULL_TIME
-
Job Responsibilities
- Overall resource management, supervision, and policy implementation and enforcement for employees who are deployed to a disaster and are working within a FEMA organizational chart at the client site. This includes ability to lead and work effectively with others, deliver constructive and honest feedback, and effectively communicate to team and/or supervisors in open and timely manner.
- Understanding and managing team to work within the contractual scope, schedule and budget, including financial management and reporting requirements.
- Management of conflict of interest for the work being performed at disaster location.
- Employee staffing, including backfills and assisting with new hire orientation training and logistics.
- Assist in resolution of employee questions, problems and complaints in partnership with Human Resources and Client.
- Management of employee resources and training needed to deliver quality work in a safe and healthy working environment.
- Using data to track and manage workloads to meet client deadlines and to report progress in a timely manner.
Requirements:- Bachelor's degree.
- 10 years of related experience.
- Domestic and/or international travel may be required. The frequency of travel is contingent on specific duties, responsibilities, and the essential functions of the position, which may vary depending on workload and project demands.
- Previous experience with disaster recovery or insurance adjusting preferred
- Claims Experience preferred
- Equivalent additional directly related experience will be considered in lieu of a degree.
Flux is an Equal Opportunity Employer that values diversity in our workplace. We welcome all qualified applicants regardless of race, color, sex, age, religion, national origin, physical or mental disability, pregnancy, marital status, veteran or military status, genetic information or sexual orientation. - 1 Month Ago
Registered Nurse Labor and Delivery
- Quality Clinicians
-
Espanola, NM
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...
- 8 Days Ago
RN - ED - Emergency Department
- Quality Clinicians
-
Farmington, NM
FULL_TIME
- RN - ED - Emergency Department We're looking for RNs for an immediate travel nurse opening. The right RN should have 2 years or more of recent experience. As a Travel Nurse, you should be prepared to ...
- 11 Days Ago
RN Cardiac Cath Lab Farmington, NM
- Quality Clinicians
-
Farmington, NM
FULL_TIME
- We are travelers building the kind of agency we always wanted, while we still work assignments. Pay Package: Weekly Pay Range: $2309-$3309/week Multiple shift openings Job Description/Responsibilities...
- 13 Days Ago
RN Med Surg Espanola, NM
- Quality Clinicians
-
Espanola, NM
FULL_TIME
- We are travelers building the kind of agency we always wanted, while we still work assignments. Pay Package: Weekly Pay Range: $1289-$2289/week Multiple shift openings Job Description/Responsibilities...
- 14 Days Ago
RN ICU - Intensive Care Unit
- Quality Clinicians
-
Farmington, NM
FULL_TIME
- We are travelers building the kind of agency we always wanted, while we still work assignments. Pay Package: Weekly Pay Range: $2134-$2440/week Multiple shift openings Job Description/Responsibilities...
- 25 Days Ago
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0 Claims Quality Auditor jobs found in Farmington, NM area
KFC Shift Supervisor
- KFC
-
Farmington, NM
- At KFC, we feed the world. But we do more than fill people up. We fulfill their life. Our meals matter, and when we serv...
- 4/26/2024 12:00:00 AM
KFC Shift Supervisor
- KFC
-
Farmington, NM
- At KFC, we feed the world. But we do more than fill people up. We fulfill their life. Our meals matter, and when we serv...
- 4/26/2024 12:00:00 AM
PBX operator - PRN - Nights
- San Juan Regional Medical Center
-
Farmington, NM
- Love what you do; Love where you live A PBX Operator is an individual who has the ability to utilize telephone technique...
- 4/26/2024 12:00:00 AM
KFC Shift Supervisor
- KFC
-
Kirtland, NM
- At KFC, we feed the world. But we do more than fill people up. We fulfill their life. Our meals matter, and when we serv...
- 4/26/2024 12:00:00 AM
HR Operations Analyst
- San Juan Regional Medical Center
-
Farmington, NM
- Love what you do; Love where you live The HR Operations Analyst is responsible for excellent customer service and execut...
- 4/25/2024 12:00:00 AM
Floor Plan Inventory Auditor/Vehicle and Field Inspector
- Collateral Specialists Inc
-
Farmington, NM
- Job Description Job Description Job Description: Collateral Specialists Inc. provides third-party inspection and auditin...
- 4/25/2024 12:00:00 AM
Shift Supervisor - Farmington, NM
- AMIkids Inc.
-
Farmington, NM
- ** Shift Supervisor - Farmington, NM** **Job Category****:** Prog Operations **Requisition Number****:** SHIFT001323 Sho...
- 4/24/2024 12:00:00 AM
Night Auditor and Front Desk Agent
- SU INC
-
Farmington, NM
- Job Description Job Description Night Auditor and Front Desk Agent We are looking for a Front Desk Agent to join our tea...
- 4/22/2024 12:00:00 AM
About Farmington, New Mexico
Farmington (Navajo: Tóta) is a city in San Juan County in the U.S. state of New Mexico. As of the 2013 population estimate from the United States Census Bureau the city had a total population of 45,426 people. Farmington (and surrounding San Juan County) makes up one of the four Metropolitan Statistical Areas (MSA's) in New Mexico. The U.S. Census Bureau's population estimate in 2011 for Farmington was about 45,256.
Farmington is located at the junction of the San Juan River, the Animas River, and the La Plata River, and is located on the Colorado Plateau. Farmington is the largest city of San...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Auditor jobs
$42,668 to $52,298
Farmington, New Mexico area prices
were up 2.5% from a year ago
were up 2.5% from a year ago
What does a Claims Quality Auditor do?
Claims Quality Auditor in Bloomington, IN
Evaluates claims activities of other departments and / or companies.
December 05, 2019