Claims Auditor Salary in United States

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Average Salary for Claims Auditor in United States

The average salary of a(n) Claims Auditor in United States is $40,117.

The average hourly rate of a(n) Claims Auditor in United States is $19.29.

The average bonus of a(n) Claims Auditor in United States is $1,003.00.

Job Description:

Audits claims to ensure accuracy of claims determinations. Manages and coordinates the reporting, review, and maintenance of data for use in supporting audit functions. Performs claims audits based on audit program and specified target audits as assigned. Documents audit findings accurately. Assures quality of claim determinations and ensures compliance with regulations and plan requirements. Researches, analyzes, and understands claims processing and payment regulations. Understands and applies standard pricing methodologies for claims. Identifies underpayments/overpayments and generates reports to quantify amounts detected through audit process. Communicates errors to Production Manager or Supervisor and trends errors for corrective actions. Identifies and develops potential areas for claim audits. Evaluates audit initiatives and identifies enhancements to the audit processes and procedures as needed. Determines whether to accept, reject, or request additional information based on policies and procedures. Less

Audits claims to ensure accuracy of claims determinations. Manages and coordinates the reporting, review, and maintenance of data for use in supporting audit functions. Performs claims audits based on audit program and specified target audits as assigned. Documents audit findings... More

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Results for Claims Auditor in United States

Delegated Claims Auditor - Cypress, CA - Cypress, CA

UnitedHealth Group

Of Claims Processing and Auditing experience for the following claim. Of claims processing practices are consistent with UHC claims payment....

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Claims Quality Auditor-Intermediate - Buffalo, NY

Independent Health

The Claims Quality Auditor-Intermediate shall be responsible for developing, delivering, supporting, communicating, and monitoring an effective quality review...

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Claims Quality Auditor - Orlando, FL

AcariaHealth Pharmacy

Independently perform comprehensive audits of claims to source documents and identify incorrect payments. 2+ years of medical or pharmacy claims processing,...

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Intermediate Claims Compliance Auditor - Woodland Hills, CA

Blue Shield of California

Participates in the development of claims training. Conducts comprehensive quality reviews of claims, enrollment, or customer service using a standard audit...

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Auditor, Claims - Long Beach, CA

Molina Healthcare

Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage amount and benefit...

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