What are the responsibilities and job description for the Claims Quality Auditor position at UCLA Health Careers?
Take on an important role within a world-class health organization. Provide specialized expertise that enables the efficient operation of a complex health system. Take your career to the next level. You can do all this and more at UCLA Health.
The Claims Quality Auditor will be responsible for the daily audit of all examiners assigned to the auditor. You will review claims (paid, pending, and denied) for accuracy, appropriate application of benefits, authorization for services, contract interpretation, Division of Financial Responsibility (DOFR), and application/compliance with policies and procedures. You will:
- Research over and under-payment inquiries/appeals
- Compile and maintain statistical data consistent
- Maintain departmental production and quality standards
Salary : $1,000 - $1,000,000