- Centers Plan for Healthy Living (Staten Island, NY)
- Claims Auditor 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #1153 Monday, September 9, 2024 Centers Plan for Healthy Living's goal is to create the ... Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure … more
- Medical Mutual of Ohio (OH)
- …DRG,_** **_and/or_** **_hospital bill auditing experience._** **Responsibilities** **Clinical Auditor ** + **Audits outpatient, inpatient and professional claims ... staff.** + **Performs other duties as assigned.** **Sr Clinical Auditor ** + **Audits outpatient, inpatient and professional claims... billing, outpatient claims billing and inpatient claims billing. + Knowledge of insurance regulations.… more
- CGI Technologies and Solutions, Inc. (Fairfax, VA)
- **Outpatient Coding Auditor ** **Category:** Analytics and Emerging Digital Technologies **Main location:** United States, Virginia, Fairfax **Position ID:** ... J0924-2003 **Employment Type:** Full Time **Position Description:** The Outpatient Coding Auditor is a member of the CGI Healthcare Compliance Audit Team. The… more
- Nevada County (Nevada City, CA)
- Accountant- Auditor II - Limited-Term Print (https://www.governmentjobs.com/careers/mynevadacounty/jobs/newprint/4426192) Apply Accountant- Auditor II - ... Nevada City, CA Job Type Limited Term Job Number 2024-0058 Department Auditor -Controller Opening Date 10/01/2024 Closing Date 10/15/2024 8:00 AM Pacific +… more
- Nevada County (Nevada City, CA)
- Senior Accountant- Auditor -Limited-Term * * * $3,000 HIRING BONUS * * * Print (https://www.governmentjobs.com/careers/mynevadacounty/jobs/newprint/4426196) Apply ... Senior Accountant- Auditor -Limited-Term * * * $3,000 HIRING BONUS * *...implementation of new GASB pronouncements + Prepare and file claims and reports with various governmental regulatory agencies The… more
- NJM Insurance (Trenton, NJ)
- … Industry Experience + APA ( Associate in Premium Auditing) + CIPA ( Certified Insurance Premium Auditor ) + ARM ( Associate in Risk Management ) + CPCU ... Our Commercial Lines department is seeking a Premium Auditor with strong organizational and time management skills. The auditor will be responsible for… more
- Fallon Health (Worcester, MA)
- …we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for ... auditing risks identified in the organization. The Senior Internal Auditor plays a key role in implementing the annual...as special requests. This could include the completion of claims , operational, financial and compliance audits, as well as,… more
- Elevance Health (Indianapolis, IN)
- **Pharmacy Internal Auditor ** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our ... lens, to deliver member-centered, lasting pharmacy care. The **Pharmacy Internal Auditor ** is responsible for driving service quality excellence by evaluating the… more
- Dignity Health (Phoenix, AZ)
- …Under the supervision of the Business Office Leadership, the Revenue Cycle Auditor role is responsible for monitoring the quality of work performed within ... solid understanding of accounts receivable and your role as a Revenue Cycle Auditor : *Payor Rules & Regulations *Understanding contract language *CCI Coding Issues *… more
- Sherman Associates, Inc. (Minneapolis, MN)
- …neighborhood. This is a Sherman Associates owned Marriott franchised location. The Night Auditor is a key member of the Guest Services team responsible for the ... assisting with all aspects of guest services. The Night Auditor is responsible for ensuring to provide the highest...all Retail transactions for the guest + Issues luggage claims and check guest luggage when requested + Manages… more
- Tennessee Comptroller of the Treasury (Nashville, TN)
- Auditor : Financial/TennCare This role focuses on examining, analyzing, and reviewing records, financial statements, claims data, and cost reports for providers ... The Comptroller of the Treasury is recruiting for a full-time Auditor : Financial/TennCare position in the Division of State Audit's Tenncare/Medicaid Section.… more
- Elevance Health (Columbus, OH)
- **Diagnosis Related Group Clinical Validation Auditor ** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within ... one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor ** is responsible for auditing inpatient medical records to ensure clinical… more
- Elevance Health (Columbus, OH)
- **Clinical Provider Auditor II** **Supports the Payment Integrity line of business** _Location: This position will work a hybrid model (remote and office). The ideal ... recover, eliminate and prevent unnecessary medical-expense spending. The **Clinical Provider Auditor II** is responsible for identifying issues and/or entities that… more
- Fallon Health (Worcester, MA)
- …we strive to be the leading provider of government-sponsored health insurance programs-including Medicare, Medicaid, and PACE (Program of All-Inclusive Care for ... all aspects of audits following departmental standards and procedures. **The Internal Auditor will perform or assist in the following:** + Supports the internal… more
- Alluvionic (Arlington, VA)
- …next level! Job Summary Alluvionic is seeking aa Federal Travel Regulation (FTR) Auditor who will ensure that travel expenses and reimbursements within the United ... As Needed *This is an onsite position.* Audit Travel Claims : + Review and audit federal employee travel expense...501(c)(3) non profit organization of your choice + Health insurance 50% premium paid by employer (note: employer contribution… more
- Elevance Health (Columbus, OH)
- …each way of a relevant Elevance Health location. The **Performance Quality Auditor lll** is responsible evaluating the quality of services and interactions provided ... the enterprise. Included are processes related to enrollment and billing and claims processing, as well as customer service written and verbal inquiries. **How… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Inpatient Auditor and Educator Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's top-performing ... + Reviews information from third party payers relative to claims charging, coding, and billing in order to ensure...to ensure compliance with Medicare, Medicaid guidelines and other insurance payers and to optimize reimbursement . + Communicates… more
- Robert Half Accountemps (Alhambra, CA)
- …Responsibilities: * Verify and adjust edits in the Patient Accounting System or claims editing system. * Conduct insurance audits alongside selected payer ... Description We are seeking a Medical Chart Auditor to join our team in the Healthcare...of responsibilities including auditing and rectifying patient records, conducting insurance audits, and liaising with various hospital departments and… more
- Robert Half Management Resources (Los Angeles, CA)
- Description We are in search of a meticulous Sr. Auditor to join our healthcare team in Los Angeles, California. The role involves auditing various aspects of our ... to communicate effectively with various stakeholders, from department directors to insurance companies, to resolve disputes and improve our billing and charging… more
- McLaren Health Care (Indianapolis, IN)
- We are looking for a Special Investigative Unit Auditor to join us in leading our organization forward. McLaren Integrated HMO Group (MIG), a division of McLaren ... bring you the Hoosier Healthwise and Healthy Indiana Plan health insurance programs. Learn more about MDwise, Inc. at https://www.mdwise.org/ **Position Summary:**… more