Claims Quality Auditor & Process Improvement

University Health; San Antonio (TX); Hybrid; USD 65,000 - 85,000; Full time

Job summary

University Health is seeking a claims auditor responsible for developing and maintaining a comprehensive claims auditing program across all lines of business. This role will monitor service quality and identify training needs to raise processing standards.

Requirements include a high school diploma and at least five years in insurance/medical/managed care, with two years in claims processing. Auditing experience and Amisys knowledge are preferred.

Qualifications

• High School Diploma required.
• Minimum of five years in insurance/medical/managed care.
• Two years of claim processing experience required. Auditing and Amisys preferred.

Responsibilities

• Develop and maintain claims auditing program for all lines of business.
• Identify processor and phone representative training needs to improve performance.

Skills

Auditing

Claims processing knowledge

Education

High School Diploma

Tools

Amisys

Job description

University Health is seeking a claims auditor responsible for developing and maintaining a comprehensive claims auditing program across all lines of business. This role will monitor service quality and identify training needs to raise processing standards.

Requirements include a high school diploma and at least five years in insurance/medical/managed care, with two years in claims processing. Auditing experience and Amisys knowledge are preferred.