SCA Quality Auditor I

Denison, Texas, United States
USD 16.11 per hour
16 Sep 2020
17 Sep 2020
Job role
SHIFT: Day Job

SCHEDULE: Full-time

Your Talent. Our Vision. At National Government Services (NGS), an independent subsidiary of Anthem, Inc. and one of the largest Medicare contractors in the country, it's a powerful combination. It's the foundation upon which we're creating greater access to care for our members, greater value for our customers and greater health for our communities. Join us and together we will drive the future of health care.

This is an exceptional opportunity to do innovative work that means more to you and those we serve.

The SCA Quality Auditor I is responsible for examining and evaluating the accuracy of transactions in accordance with regulations and company guidelines. This position will support the Appeals unit.

Primary duties may include, but are not limited to:

  • Identifies documents and reports any transaction errors in a timely manner to ensure prompt resolution.
  • Applies expert knowledge in most areas.
  • Able to perform simple functions; works under general direction.
  • Examines and evaluates on a prepayment basis the accuracy of transactions processed by reviewing policy, procedure and manual input in accordance with guidelines.
  • Tracks and trends audit results, providing feedback to management.
  • Generates monthly reports of audit findings, supports clients with issued identified, develops reports to assist management with information requested.
  • Produces other ad hoc reports as requested by internal and external clients.

  • Qualifications

  • Requires H.S. diploma or equivalent; 9 months to 1 year related experience; or any combination of education and experience, which would provide an equivalent background.
  • Medicare working knowledge experience is required
  • Medicare Part B working knowledge is highly preferred
  • Quality assurance experience highly preferred
  • Proficient with computer skills including MS Office

  • Non-negotiable hourly rate for this position by location.

    Baltimore, MD $16.00

    Denison, TX $16.00

    Harrisburg, PA $16.11

    Hingham, MA $17.68

    Indianapolis, IN $16.12

    Louisville, KY $16.00

    Manchester, NH $16.00

    South Portland, ME $16.00

    Syracuse, NY $16.00

    Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at An Equal Opportunity Employer/Disability/Veteran.