Claims Quality Audit Supervisor jobs in New Jersey
Claims Quality Audit Supervisor supervises and coordinates daily activities of claims quality auditors. Provides assistance in developing claims audit policies and procedures. Being a Claims Quality Audit Supervisor solves day-to-day problems and monitors the results of daily staff activities, reports critical issues and problems to the management. Typically requires a bachelor's degree. Additionally, Claims Quality Audit Supervisor typically reports to a manager. The Claims Quality Audit Supervisor supervises a group of primarily para-professional level staffs. May also be a level above a supervisor within high volume administrative/ production environments. Makes day-to-day decisions within or for a group/small department. Has some authority for personnel actions. Thorough knowledge of department processes. To be a Claims Quality Audit Supervisor typically requires 3-5 years experience in the related area as an individual contributor. (Copyright 2024 Salary.com)
Recently Added Claims Quality Audit Supervisor jobs
Health Claims Audit Manager
- Withum
-
Whippany, NJ
FULL_TIME
-
Looking to work at a firm with an unbeatable culture?
Withum is a forward-thinking, technology-driven advisory and accounting firm, helping clients to Be in a Position of StrengthSM in today’s modern business landscape. Withum empowers clients with innovative tools and solutions to address their accounting, tax and overall business management needs. Withum is a place where talent thrives. We recruit only the best and brightest people, with a genuine passion for the business.
Withum is seeking an experienced health claims auditor possessing in-depth knowledge of group health and disability claims procedures, medical/dental terminology, including CPT, ADA, HCPC and ICDA codes, and a thorough understanding of automated health claims systems as well as manual claims payment systems.
How You’ll Spend Your Time- Working closely with our clients to ensure that health, dental, prescription and vision claims are being paid in compliance with regulations and plan documents
- Reviewing client's claims adjudication internal controls policies and procedures
- Completing audit workpapers documenting procedures, findings and conclusions within assigned budgets and deadlines
- Responsible for scheduling and oversight of claims team (3-5 at any given time)
- Review work of team members and present to engagement partner for their final review
- BS Degree
- Must be qualified at analyzing and interpreting group health insurance contract provisions and reviewing administrative policies and PPO contracts
- Experience supervising staff and working within a team environment
- Must be familiar with HIPAA and ACA compliance standards
- Must have a minimum of 7-10 years of health claims processing experience (internal auditing skills a plus)
- Good computer skills (Microsoft office preferred), excellent communication skills
- Ability to travel
- 2-4 years of managerial experience in health claims processing is a plus
California ranges are from $90,000-$120,000 annually
New York ranges are from $90,000-$120,000 annually
Washington DC ranges are from $90,000-$120,000 annually
Withum will not discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability, or because he or she is a protected veteran. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. - 1 Day Ago
Health Claims Audit Manager
- Withum
-
East Brunswick, NJ
FULL_TIME
- Looking to work at a firm with an unbeatable culture?Withum is a forward-thinking, technology-driven advisory and accounting firm, helping clients to Be in a Position of StrengthSM in today’s modern b...
- 7 Days Ago
Health Claims Audit Manager
- Withum
-
Shamong, NJ
FULL_TIME
- Looking to work at a firm with an unbeatable culture?Withum is a forward-thinking, technology-driven advisory and accounting firm, helping clients to Be in a Position of StrengthSM in today’s modern b...
- 8 Days Ago
Health Claims Audit Manager
- Withum
-
Princeton, NJ
FULL_TIME
- Looking to work at a firm with an unbeatable culture?Withum is a forward-thinking, technology-driven advisory and accounting firm, helping clients to Be in a Position of StrengthSM in today’s modern b...
- Just Posted
Health Claims Audit Manager
- Withum
-
Red Bank, NJ
FULL_TIME
- Looking to work at a firm with an unbeatable culture?Withum is a forward-thinking, technology-driven advisory and accounting firm, helping clients to Be in a Position of StrengthSM in today’s modern b...
- Just Posted
Health Claims Audit Manager
- WithumSmith+Brown
-
Princeton, NJ
FULL_TIME
- Looking to work at a firm with an unbeatable culture? Withum is a forward-thinking, technology-driven advisory and accounting firm, helping clients to Be in a Position of StrengthSM in today’s modern ...
- 30 Days Ago
Claims Quality Audit Supervisor jobs at Popular Companies
Quality Specialist
- Flatiron Construction Corp
-
Concord, CA
- Come join our NorCal team (Bay Area/Sacramento) as a Quality Specialist! A great opportunity to join an industry-leading...
- 6/11/2024 12:00:00 AM
Quality Supervisor
- The Kraft Heinz Company
-
New Ulm, MN
- General information All posting locations: New Ulm, Minnesota, United States of America Job Function: 07 - Quality Date ...
- 6/11/2024 12:00:00 AM
Quality Supervisor
- Hearthside Foods
-
London, KY
- Founded in 2009 and headquartered in Downers Grove, IL we are a world-class contract manufacturer producing wholesome ba...
- 6/11/2024 12:00:00 AM
Quality Supervisor
- Behavioral Health Network, Inc
-
Hartford, CT
- Job Description Job Description Apply your experience with individuals working towards recovery from drug and alcohol ad...
- 6/11/2024 12:00:00 AM
Quality Supervisor
- LGES Honda
-
Jeffersonville, OH
- Date Posted: 05/07/2024 Hiring Organization: Rose International Position Number: 463608 Job Title: Quality Supervisor Jo...
- 6/11/2024 12:00:00 AM
Quality Supervisor
- Refresco
-
Waco, TX
- Make a Difference in YOUR Career! Our vision is both simple and ambitious: to put our drinks on every table. We are the ...
- 6/10/2024 12:00:00 AM
Quality Supervisor
- Intralox
-
New Orleans, LA
- Quality Supervisor Location: New Orleans, LA Category Manufacturing & Production Division Intralox Hours 7:00am-4:00pm, ...
- 6/9/2024 12:00:00 AM
Quality Supervisor
- Stellantis
-
Sterling Heights, MI
- The Quality Supervisor is an integral part of a company whose focus is to change the automotive landscape. The Superviso...
- 6/7/2024 12:00:00 AM
About New Jersey
New Jersey is bordered on the north and northeast by New York (parts of which are across the Hudson River, Upper New York Bay, the Kill Van Kull, Newark Bay, and the Arthur Kill); on the east by the Atlantic Ocean; on the southwest by Delaware across Delaware Bay; and on the west by Pennsylvania across the Delaware River.
New Jersey is often broadly divided into three geographic regions: North Jersey, Central Jersey, and South Jersey. Some New Jersey residents do not consider Central Jersey a region in its own right, but others believe it is a separate geographic and cultural area from the Nor...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Quality Audit Supervisor jobs
$79,802 to $99,994
Most Popular Cities in New Jersey for Claims Quality Audit Supervisor Jobs
What does a Claims Quality Audit Supervisor do?
Claims Quality Audit Supervisor in Provo, UT
Based on our compensation data, the estimated salary potential for Claims Quality Audit Supervisor will increase 16 % over 5 years.
January 29, 2020