What are the responsibilities and job description for the Customer Service Auditor position at Guidewell?
Job Description
Get To Know Us!
WebTPA, a GuideWell Company, is a healthcare third-party administrator with over 30 years of experience building unique benefit solutions and managing customized health plans.
Key position details :
This is a Full time in office position : 6535 SH-161 S, Irving Texas 75039
Job Summary
Perform audits and analysis information to measure corporate performance. Review business area records for the purpose of measuring accuracy of department processes within the WebTPA organization. The information will be used to determine individual and unit accuracy, as well as detecting any trends that may need to be addressed. This function will be closely related to the training function for the purpose of performance.
Essential Functions
The essential functions listed represent the major duties of this role, additional duties may be assigned.
- Perform audits on randomly selected claims, eligibility files, or calls, as determined by corporate audit procedures (60%)
- Organize audits to be performed on a regularly scheduled basis for all groups (10%)
- Review and summarize outcomes of audits with each department and present findings to appropriate management (10%)
- Maintain audit records (10%)
- Identify processes that need improvement and coordinate related training needs (5%)
- Follow up on performance issues to ensure corrective measures have been implemented (5%)
- Perform additional special audits as requested by management
Qualifications
Preferred Qualifications
What We Can Offer YOU!
To support your wellbeing, comprehensive benefits are offered. As a WebTPA employee, you will have access to :
Employee benefits are designed to align with federal and state employment laws. Benefits may vary based on the state in which work is performed. Benefits for interns and part-time employees may differ.
General Physical Demands
Sedentary work : Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally.
We are an Equal Opportunity / Protected Veteran / Disabled Employer committed to creating a diverse, inclusive and equitable culture for our employees and communities.
About Us
At GuideWell, we are committed to making diversity, equity and inclusion part of everything we do. We believe in hiring people who represent the communities we serve while creating a workplace that encourages a sense of belonging for everyone, no matter who you are or where you come from.
From students to former military to seasoned professionals, our family of mission-based companies are stronger because of the unique talents and skills of our employees. We believe everyone's contribution has the power to help people and communities achieve better health. Find your new team today.
About the Team
We're proud to be named a Top Workplaces 2020 employer by The Dallas Morning News and the San Antonio Express-News for a second year in a row. We're even more proud of the hard work, passion and commitment that our amazing team of employees put in day after day in order to make this achievement happen. This is what makes WebTPA a family.
