Anytown, USA
10 days ago
Claims Quality Auditor
**Overview** *Required On-site training in **Campbell, CA** (Beautiful Bay Area!) for a week. BroadPath is hiring a **Claims Quality Auditor** to join our team. As a **Claims Quality Auditor** , you'll play a crucial role in maintaining the integrity of our claims processing system. You'll analyze workflows, provide feedback, and drive continuous improvement in our claims accuracy and efficiency. **Responsibilities** 1. Conduct thorough audits of claims processing and support services 2. Identify root causes of errors and recommend solutions 3. Collaborate with IT to enhance system performance 4. Provide targeted feedback and training to examiners 5. Analyze trends and suggest process improvements 6. Ensure regulatory compliance and timeliness **Qualifications** + Subject Matter Expert in medical claims processing + 4-5 years experience as a Senior Claims Examiner in managed care + Proficiency in ICD-10, CPT-4, HCPCS, and claim forms + Strong analytical and communication skills + Adaptable and detail-oriented with excellent time management + Proficient in Microsoft Office Suite and database applications **Education** High School Diploma required; College degree preferred Required to attend on-site training for up to 7 days. Training Location: 900 E. Hamilton Suite 600, Campbell, CA 95008 **Diversity Statement** At BroadPath, diversity is our strength. We embrace individuals from all backgrounds, experiences, and perspectives. We foster an inclusive environment where everyone feels valued and empowered. Join us and be part of a team that celebrates diversity and drives innovation! Equal Employment Opportunity/Disability/Veterans If you need accommodation due to a disability, please email us at HR@Broad-path.com. This information will be held in confidence and used only to determine an appropriate accommodation for the application process BroadPath is an Equal Opportunity Employer. We do not discriminate against our applicants because of race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age, disability, veteran status, genetic information, or any other status protected by applicable law. **Compensation:** BroadPath has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.
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