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AvMed, a division of Sentara Health Plans in the Florida market, is hiring a Claims QA Analyst in Miami and/or Gainesville, Florida. This is a hybrid position, 2 days in office and 3 days remote.
Scope of position: The Claims QA Analyst conducts audits of AvMed, Delegated Vendors, and Business Process Outsourcing (BPO) claims. The Claims QA Analyst conducts claims audits and works closely with the BPO to identify and correct any audit findings.
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As the third-largest employer in Virginia, Sentara Health was named by Forbes Magazine as one of America's best large employers. We offer a variety of amenities to our employees, including, but not limited to:
Sentara employees strive to make our communities healthier places to live. We're setting the standard for medical excellence within a vibrant, creative, and highly productive workplace. For information about our employee benefits, please visit: Benefits – Sentara (sentaracareers.com)
Join our team! We are committed to quality healthcare, improving health every day, and provide the opportunity for training, development, and growth!
Note: Sentara Healthcare offers employees comprehensive health care and retirement benefits designed with you and your family's well-being in mind. Our benefits packages are designed to change with you by meeting your needs now and anticipating what comes next. You have a variety of options for medical, dental and vision insurance, life insurance, disability, and voluntary benefits as well as Paid Time Off in the form of sick time, vacation time and paid parental leave. Team Members have the opportunity to earn an annual flat amount Bonus payment if established system and employee eligibility criteria is met.
Keywords: Talroo-Health Plan, #INDEED, Auditing, Claims, Configuration
Job Type: Full-time
Pay: $21.00 - $27.00 per hour
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Work Location: Hybrid remote in Doral, FL 33122
Full Time
$58k-72k (estimate)
05/10/2024
09/05/2024
avmed.com
Winter Park, FL
50 - 100
The job skills required for Claims QA Analyst include Auditing, Written Communication, Microsoft Office, Problem Solving, Analysis, Troubleshooting, etc. Having related job skills and expertise will give you an advantage when applying to be a Claims QA Analyst. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Claims QA Analyst. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Claims QA Analyst positions, which can be used as a reference in future career path planning. As a Claims QA Analyst, it can be promoted into senior positions as a Claims Quality Auditor II that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Claims QA Analyst. You can explore the career advancement for a Claims QA Analyst below and select your interested title to get hiring information.