- CVS Health (Hartford, CT)
- …each and every day. **Position Summary** The Quality Specialist will audit pre and post payment claims for accuracy and eligibility transactions. They ... identifying errors, necessary corrective measures, and may participate in special audit assignments. **Required Qualifications** + 1+ years of experience working in… more
- Sedgwick (Hartford, CT)
- …; ensures appropriate recommendations are made on claims . + Consistently achieves appropriate quality audit scores. + Acts as clinical resource to claims ... of claims including comprehension of medical terminology and substantiating claim decisions. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Acts as a backup for… more
- Elevance Health (Wallingford, CT)
- …letters. + Maintains accuracy and quality standards as set by audit management for the auditing concept, valid claim identification, and documentation ... responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of...purposes (eg, letter writing). + Identifies new claim types by identifying potential claims outside… more
- Hartford HealthCare (Farmington, CT)
- …programs and other common practices across the system.*__* *_Position Summary:_* The Quality Revenue Cycle Billing and Auditor Specialist is responsible for ... billing office. The auditor will implement and maintain an audit and education program for the billing office. The...will correlate back to the expectations for productivity and quality . The Auditor will also be responsible for contributing… more