- LA Care Health Plan (Los Angeles, CA)
- Financial Compliance Auditor III Claims Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type: ... to achieve that purpose. Job Summary The Financial Compliance Auditor III Claims is responsible for various...This position is responsible for all aspects of assigned claim audits, including audit testing and completion of the… more
- LA Care Health Plan (Los Angeles, CA)
- Specialty Health Plans Claims Auditor III Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type: ... the safety net required to achieve that purpose. Job Summary The Specialty Plans Auditor III is responsible for planning audits and audit work programs that address… more
- Conduent (Newark, NJ)
- …be part of a culture where individuality is noticed and valued every day. **Pharmacy Claims Auditor CPhT** **Do you have a CPhT certification?** **Would you like ... behalf of our healthcare payer clients. As a Pharmacy Claims Auditor CPhT, you will examine a...claim data. This is to ensure billed pharmacy claims are being accurately submitted. You will also be… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Claims Auditor 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #1153 Monday, December 2, 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
- Cedars-Sinai (CA)
- …the gold standard of patient care we strive for. **What will you be doing:** The Claims Auditor is responsible for ensuring the accuracy of claims processing ... field of study, preferred. **Req ID** : 7494 **Working Title** : Claims Auditor (Managed Care) - Remote **Department** : MNS Managed Care **Business Entity**… more
- Robert Half Accountemps (Los Angeles, CA)
- …near Los Angeles is seeking a detail-oriented and experienced Medical Clinical Trial Claims Auditor . This role involves meticulous oversight and auditing of ... claims related to our clinical trials to ensure compliance...Medical Denials, Clinical Trial Operations, Clinical trial management, Medical Claims , Claims audits, Coding Audits Robert Half… more
- Commonwealth of Pennsylvania (PA)
- Field Auditor 2 (Local Government) - Allegheny County Support Administration Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4778999) Apply ... Field Auditor 2 (Local Government) - Allegheny County Support Administration...fixed asset reviews, indirect cost allocation plan reviews, and claims validation. Among these functions, some specific duties will… more
- Commonwealth of Pennsylvania (PA)
- Revenue Tax Auditor Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4853793) Apply Revenue Tax Auditor Salary $60,656.00 - $88,235.00 ... of Audits! DESCRIPTION OF WORK As a Revenue Tax Auditor , you will be conducting fair and equitable audits...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- ManpowerGroup (New York, NY)
- Jefferson Wells is seeking an experienced **Insurance Auditor with Life Claims ** expertise to join our team. The successful candidate will be responsible for ... compliance with company policies, industry standards, and regulatory requirements. The auditor will analyze the claims documentation and processes, identify… more
- Commonwealth of Pennsylvania (PA)
- Auditor 1 Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4863566) Apply Auditor 1 Salary $50,836.00 - $77,321.00 Annually Location *Home ... of Audits, Liquor Control Board Operations is seeking an Auditor 1 to join our team of professionals. This...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- New York State Civil Service (Syracuse, NY)
- NY HELP Yes Agency Taxation & Finance, State Title Auditor 1 (Tax)/ Auditor Trainee 1 (Tax)/ Auditor Trainee 2 (Tax) (NY HELPS) Occupational Category ... authority;* Represent CID and advocate disputed cases at BCMS conferences and Small Claims Hearings; may participate at hearings as a witness for the Department to… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Criminal Justice Services, Division of Title Auditor 1/Trainee Occupational Category Other Professional Careers Salary Grade 18 Bargaining Unit ... Albany State NY Zip Code 12210 Duties Description The Auditor 1, SG-18 will be assigned to the Office...performing various test, reviews, reconciliations, and evaluation of accounts, claims , records, and procedures to ensure that reimbursed costs… more
- New York State Civil Service (New York, NY)
- NY HELP Yes Agency Medicaid Inspector General, NYS Office of the Title Auditor 1/ Auditor Trainee 1/ Auditor Trainee 2 (NY HELPS) Occupational Category ... 14th Floor City New York City State NY Zip Code 10007 Duties Description An Auditor 1 performs research on the functions of the organization to be audited to… more
- New York State Civil Service (Syracuse, NY)
- NY HELP Yes Agency Taxation & Finance, State Title Auditor 1 (Tax)/ Auditor Trainee 1 (Tax)/ Auditor Trainee 2 (Tax) (NY HELPS) Occupational Category ... City Syracuse State NY Zip Code 13202 Duties Description Auditor 1 (Tax) performs on-site field audits and examinations...and advocate disputed cases at BCMS conferences and Small Claims Hearings. May participate at hearings as a witness… more
- Rush University Medical Center (Chicago, IL)
- …each case. **Summary:** As a key role in the Revenue Integrity team, the Auditor & Educator is responsible for conducting reviews of EMR documentation of patient ... feedback and focused educational programs on the results of auditing, review claim denials pertaining to coding, and implement corrective action plans. Exemplifies… more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- Summary With direction from the Patient Financial Services Director, the Nurse Auditor / Revenue Integrity/ CDM Analyst is responsible for performing audits of ... record and other applicable hospital documentation, assigning modifiers to appropriate claims , researching edited claims for medical necessity, and advising… more
- Health Advocates Network (Phoenix, AZ)
- Contract **Job # 24646 Charge Auditor ** **Acclivity Healthcare - Your personable, proven partner!** Since 1999, Acclivity Healthcare has served the specialized ... of better talent. **Compensation and Schedule for the Charge Auditor ** Charge Auditor - Full-time, work-from-home, $25-$35...- Work with Audit and Education Specialists to assist claim audits and understanding on missed charges based on… more
- ManpowerGroup (Vienna, VA)
- Our client, is seeking a Bank and Corporate Owned Life Insurance (BOLI/COLI) Auditor to join their team. As a Bank and Corporate Owned Life Insurance (BOLI/COLI) ... Auditor , you will be part of the Audit Services...policies. + Conduct thorough audits of life and death claims to verify accuracy, completeness, and compliance with company… more
- City of New York (New York, NY)
- …As such, DCAS/Audit and Compliance Services seeks to hire a Vendor Contract Auditor to coordinate, monitor and conduct reviews of audit work performed by contracted ... master contracts under the purview of a Senior Staff Auditor /Supervisor and the Audit Director. Responsibilities for the Internal...of vendor contract and/or financial auditing, and auditing of claims for payment to assess their validity on a… more
- AmeriHealth Caritas (Philadelphia, PA)
- …audit process and communicate the audit outcome to the appropriate persons. The auditor will validate production to ensure that the case is migrated appropriately. ... post-implementation review is completed as the policy outlines. The auditor will be expected to build/run complex queries to...will be expected to build/run complex queries to identify claims affected by the configuration change and analyze all… more
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