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Saint Francis Health System

Tulsa, Oklahoma

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Fred Hutchinson Cancer Center

Seattle, Washington

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University of Maryland Medical System

Linthicum Heights, Maryland

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Atlantic Health (SP)

Newton/NJ/USA

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Nemours

Wilmington, Delaware

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University of Maryland Medical System

Linthicum Heights, Maryland

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St. Luke's Health System

Idaho

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BJC HealthCare

Saint Louis, Missouri

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Memorial Sloan Kettering Cancer Center

United States - Nationwide

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Atlantic Health (SP)

Morristown/NJ/USA

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BJC HealthCare

Saint Louis, Missouri

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Watertown Regional Medical Center

Watertown, Wisconsin

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University of Maryland Medical System

Bel Air, Maryland

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Vanderbilt Health

Nashville, Tennessee

Ochsner Health

New Orleans, Louisiana

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Claims Quality Review Auditor
 JOB SUMMARYThe Claims Quality Review Auditor is responsible for auditing various claims to ensure quality and accuracy to related benefit payments, contract interpretation, and compliance with policies and procedures and regulatory guidelines. Makes recommendations to improve quality, workflow processes, policies and procedures.ESSENTIAL FUNCTIONS OF THE ROLETracks and trends audits in an effort to identify root cause errors to providers; provides feedback.


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