Claims Processing Auditor

4 days ago


Birmingham, Alabama, United States Triton Health Systems Full time
About the Opportunity

We are seeking a highly motivated Quality Assurance Specialist to join our team at Triton Health Systems. As a Quality Assurance Specialist, you will play a critical role in ensuring the highest level of quality and service for our customers.

Job Summary

This is a full-time position with an estimated salary of $55,000 - $70,000 per year, depending on experience. The ideal candidate will have 1-2 years of experience in claims processing, customer service, or quality assurance. You will be responsible for:

  • Auditing and reporting analysis of claims and entry staff, commercial customer service phone queue calls, Medicare member services phone queue calls, system configuration, and provider/fee configuration.
  • Developing and implementing quality assurance processes that meet regulatory requirements and company standards.
Key Qualifications:
  • High school diploma or equivalent required; bachelor's degree preferred.
  • 1-2 years of experience in claims processing, customer service, or quality assurance.
  • Strong analytical and problem-solving skills.
  • Excellent communication and interpersonal skills.


  • Birmingham, Alabama, United States State Farm Insurance Full time

    Insurance Claims SpecialistWe are looking for a highly motivated and detail-oriented Insurance Claims Specialist to join our team at State Farm Insurance.Key Responsibilities:Analyze and process claims in a timely and efficient manner.Communicate with customers and other stakeholders regarding claim status and resolution.Collaborate with underwriters and...


  • Birmingham, Alabama, United States Darrell Walker Workforce Full time

    About the RoleWe are seeking a highly skilled Claims and Warranties Administrator to join our team at Darrell Walker Workforce. In this role, you will be responsible for receiving and processing warranty claims, working closely with our quality control team, and providing excellent customer service.The ideal candidate will have prior experience in insurance...


  • Birmingham, Alabama, United States Darrell Walker Workforce Full time

    Job DescriptionWe are seeking a highly organized and detail-oriented Warranty Claims Specialist to join our team. As a key member of our operations department, you will be responsible for receiving and processing warranty claims in a timely and efficient manner.The ideal candidate will have prior experience in insurance claims or warranty administration, as...


  • Birmingham, Alabama, United States Darrell Walker Workforce Full time

    Job SummaryWe are seeking a highly skilled Warranty Claims Coordinator to join our team at Darrell Walker Workforce. This role involves receiving and processing warranty claims, conducting thorough research on sales history and production lots, and providing exceptional customer service.The ideal candidate will possess strong communication skills, be...


  • Birmingham, Alabama, United States Westerkamp Group, LLC Full time

    At Westerkamp Group, LLC, we are seeking a highly skilled Medical Claims Specialist to join our team. This is a competitive salary position with benefits compensation that includes equal employment opportunities.Job Overview:The ideal candidate will have a strong understanding of insurance follow up processes and be proficient in basic knowledge of CPT,...


  • Birmingham, Alabama, United States Medplex Outpatient Surgery Cen Full time

    Job DescriptionWe are seeking a skilled Insurance Claims Specialist to assist with insurance verification and follow-up. This role will also involve training in other business office functions. Previous experience in medical billing is beneficial, and knowledge of insurance verification processes is preferred.Key Responsibilities:Assist with verifying...


  • Birmingham, Alabama, United States Wettermark and Keith Law Firm Full time

    We are looking for a skilled Disability Claims Coordinator to join our team at Wettermark and Keith Law Firm in Birmingham, AL.The estimated annual salary for this position is $55,000 - $75,000, based on experience.About the Job:This is a dynamic opportunity to provide critical support to our disability claims department, working closely with Case Managers...


  • Birmingham, Alabama, United States Hudson Automotive Group, Inc Full time

    Job OverviewWe are looking for a skilled and motivated Warranty Administrator to join our team at Hudson Automotive Group, Inc. In this role, you will play a critical part in ensuring the success of our business by providing top-notch customer service and managing warranty claims efficiently.About the JobThis is an exciting opportunity for someone who is...


  • Birmingham, Alabama, United States Marriott Full time

    About the RoleThis Night Auditor Coordinator position is an exciting opportunity to join our finance team at Sheraton Birmingham Hotel. You will play a critical role in ensuring the accuracy and efficiency of our financial operations.Main ResponsibilitiesBalance and drop receipts according to Accounting specifications.Count bank at end of shift and secure...


  • Birmingham, Alabama, United States Alacrity Solutions Full time

    Job Overview: Alacrity Solutions is a leading provider of insurance claims services, offering a comprehensive solution for property, auto, heavy equipment, and casualty claims management. We are currently seeking a skilled Daily Property Field Adjuster to join our team in the United States.We offer a competitive estimated salary of $65,000 per year, based on...


  • Birmingham, Alabama, United States Darrell Walker Workforce Full time

    Job SummaryWe are looking for a skilled Customer Service Coordinator - Warranty Claims to join our team at Darrell Walker Workforce. This role involves receiving and processing warranty claims, working closely with our quality control team, and providing excellent customer service.The ideal candidate will have prior experience in insurance claims or warranty...


  • Birmingham, Alabama, United States Medplex Outpatient Surgery Cen Full time

    Job OverviewWe are seeking a detail-oriented Medical Claims Examiner to assist with insurance verification and follow-up tasks.This role also involves training in other business office functions. Previous medical billing experience is beneficial, and knowledge of insurance verification processes is preferred.


  • Birmingham, Alabama, United States Kemper Full time

    Job DescriptionKemper is a leading specialized insurer dedicated to providing exceptional customer experiences. As a Claims Recovery Specialist in our Birmingham or Dallas office, you will play a crucial role in identifying and pursuing subrogation opportunities.About the RoleThis position involves conducting thorough investigations of claims with limited...


  • Birmingham, Alabama, United States Allstate Insurance Agency - Chad Watts Full time

    About the RoleThe Allstate Insurance Agency - Chad Watts is looking for a talented Customer Service Representative - Insurance Claims to assist with processing insurance applications and claims. In this role, you will play a vital part in ensuring seamless communication between customers and our agency, providing timely responses to inquiries, and resolving...


  • Birmingham, Alabama, United States Landing Full time

    Job DescriptionLanding is seeking a skilled Senior Staff Accountant to join our Accounting team.The ideal candidate will have a Bachelor's degree in Accounting or equivalent and 4+ years of relative accounting experience.Proficiency in Microsoft Excel and Google Sheets is essential, while experience with ERP systems, particularly Netsuite, is highly...


  • Birmingham, Alabama, United States Westerkamp Group, LLC Full time

    Westerkamp Group, LLC is an expanding company specializing in Revenue Cycle Management services in the health care industry.Company OverviewWe are growing and currently seeking a Financial Claims Resolution Specialist to provide patient and third-party hospital denials follow-up and professional follow-up for our clients.Job DescriptionThe Financial Claims...


  • Birmingham, Alabama, United States Lamar Hodge - State Farm Agent Full time

    Why Join Our Team? Lamar Hodge - State Farm Agent is a dynamic and supportive team environment where you can grow and develop your career while making a meaningful impact in the lives of our clients. Estimated Salary and Benefits The estimated annual salary for this position is approximately $55,000, along with opportunities for bonuses and benefits such as...


  • Birmingham, Alabama, United States Westerkamp Group, LLC Full time

    Job OverviewWe are seeking a skilled Denial Claims Specialist to join our team at Westerkamp Group, LLC. Based in Birmingham, AL, this role involves working closely with clients to provide patient and third-party hospital denials follow-up.Key Responsibilities:Maintain up-to-date knowledge of insurance follow-up processes, including billing, collections,...


  • Birmingham, Alabama, United States SteadPoint Full time

    Job SummaryWe are seeking an experienced Premium Audit Admin to join our team.Annual Salary Range: $50,000 - $55,000The successful candidate will support our auditors in document handling of all premium audits, including initiating and monitoring the premium audit process, ensuring that proper letters are mailed, data is received from insureds, and audits...


  • Birmingham, Alabama, United States ITAC Solutions Full time

    About the RoleWe are looking for a highly skilled Accounting Manager or Senior Accountant to join our team at ITAC Solutions in Birmingham. In this role, you will be responsible for leading the Accounting Department, managing financial reports, and collaborating with external auditors.Key ResponsibilitiesManage the day-to-day activities of the Accounting...