Claims Quality Review Auditor in Temple, TX for Baylor Scott & White Health

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Claims Quality Review Auditor

JOB SUMMARYThe Claims Quality Review Auditor is responsible for auditing various claims to ensure quality and accuracy to related benefit payments, contract interpretation, and compliance with policies and procedures and regulatory guidelines. Makes recommendations to improve quality, workflow processes, policies and procedures.ESSENTIAL FUNCTIONS OF THE ROLETracks and trends audits in an effort to identify root cause errors to providers; provides feedback.

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