- Monroe 2-Orleans BOCES (Spencerport, NY)
- The School District Claims Auditor has the exclusive authority to formally examine all charges, claims or purchases against the BOCES. Valid claims ... paid by the Treasurer only upon the approval of the School District Claims Auditor . The auditing process should determine: + That the proposed payment is valid… more
- Marshfield Clinic (Marshfield, WI)
- …to support the most exciting missions in the world!** **Job Title:** SHP Claims Auditor (remote) **Cost Center:** 682891379 SHP- Claims **Scheduled Weekly ... Normal (United States of America) **Job Description:** **JOB SUMMARY** The SHP Claims Auditor is responsible for performing payment, procedural accuracy,… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Claims Auditor 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #1153 Friday, June 14, 2024 Centers Plan for Healthy Living's goal is to create the ultimate ... Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure … more
- Orange-Ulster BOCES (Goshen, NY)
- …of training and experience as defined by the limits of (A), (B) and (C) above. Application Deadline:08/30/2024 Civil Service Title: Deputy Claims Auditor ... Assists in the auditing of all vouchers and claims to ascertain that: a. The proposed payments...recalculation of any discounts; Determines that any charges or claims are not duplicates of items already paid; Compares… more
- UCLA Health (Los Angeles, CA)
- …to the next level. You can do all this and more at UCLA Health. The Claims Quality Auditor will be responsible for the daily audit of all examiners assigned ... to the auditor . You will review claims (paid, pending, and denied) for accuracy, appropriate application of benefits, authorization for services, contract… more
- Centene Corporation (Sacramento, CA)
- …CA - Must be in California **Position Purpose:** The Delegation Oversight Compliance Auditor - Medical Claims is responsible for scheduling, coordinating, and ... to internal departments, and communicating recommendations to delegated entity for claims processing, credentialing and/or recredentaling processes. + Based on CAPs… more
- Humana (Columbus, OH)
- …of our caring community and help us put health first** The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure ... Follows established guidelines/procedures. **Where you Come In** The Medical Coding Auditor reviews medical claims submitted against medical records provided,… more
- CVS Health (Scottsdale, AZ)
- … submitted through the CVS Health claims processing systems. The Pharmacy Claims Auditor will identify and rectify claim inaccuracies that would result in ... to not only help people get well, but help them stay well in body, mind and spirit. The Pharmacy Claims Reviewer is responsible for reviewing pharmacy claims… more
- New York State Civil Service (White Plains, NY)
- NY HELP Yes Agency Taxation & Finance, State Title Auditor 1 (Tax)/ Auditor Trainee 1 (Tax)/ Auditor Trainee 2 (Tax) (NY HELPS) Occupational Category ... Civil Service Law, Rules and Regulations.Special Minimum Qualifications for transfer to Auditor 1 (Tax):A bachelor's degree including or supplemented by 24 semester… more
- Nevada County (Nevada City, CA)
- Senior Accountant- Auditor -Limited-Term Print (https://www.governmentjobs.com/careers/mynevadacounty/jobs/newprint/4426196) Apply Senior Accountant- Auditor ... Nevada City, CA Job Type Full Time Job Number 2024-0059 Department Auditor -Controller Opening Date 03/13/2024 Closing Date Continuous + Description + Benefits +… more
- HCA Healthcare (Campbell, CA)
- …and integrity. We care like family! Jump-start your career as a(an) Claim Auditor today with HCA Healthcare. **Benefits** HCA Healthcare, offers a total rewards ... by location._** Come join our team as a(an) Claim Auditor . We care for our community! Just last year,...function is to ensure examiner payment accuracy of all claims processing including analysis of support services fulfillment colleagues'… more
- Fallon Health (Worcester, MA)
- …a key role in auditing risks identified in the organization. The Senior Internal Auditor plays a key role in implementing the annual audit plan. The Senior Internal ... Auditor conducts audits and related projects (financial, operational, and...as special requests. This could include the completion of claims , operational, financial and compliance audits, as well as,… more
- City of New York (New York, NY)
- …New York employees serving in a permanent Civil Service title of Management Auditor , or Accountant. To be considered for this position, PLEASE CLEARLY INDICATE YOUR ... a motivated, organized and detail-oriented individual to fill the position of Auditor . The Bureau advocates for the rights of workers by performing investigations… more
- New York State Civil Service (Albany, NY)
- NY HELP No Agency SUNY System Administration Title Internal Auditor Occupational Category Financial, Accounting, Auditing Salary Grade NS Bargaining Unit M/C - ... software or other auditing software. Duties Description Job Description:The Internal Auditor is responsible for performing internal audit services to further advance… more
- State of Georgia (Fulton County, GA)
- Investigative Auditor - Medicaid Fraud Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/52416/other-jobs-matching/location-only) Hot ... Attorney General Department of Law Medicaid Fraud - Investigative Auditor *To move forward in the recruiting process ALL...more of the following: . Audit experience in medical claims and/or claims data. . Certification as… more
- National Nuclear Security Administration (Pittsburgh, PA)
- …contact the HR Consultant listed on this vacancy announcement. Responsibilities As the Lead Auditor , you will: Serve as Lead Auditor within the Naval Reactors ... AND IOR: All Professional Auditor Positions: https://www.opm.gov/policy-data-oversight/classification-qualifications/general-schedule-qualification-standards/0500/auditing-series-0511/ Experience… more
- Robert Half Accountemps (Los Angeles, CA)
- …and finalizing DNB edits either in the PFS host Patient Accounting system or claims editing system. At times, the Chart Auditor may conduct insurance audits ... in Los Angeles is in the need of Chart Auditor . The Chart Auditor is responsible for...payer auditor per contractual terms. The Chart Auditor may also be responsible for hospital department communication… more
- Office of the Inspector General (Sacramento, CA)
- …any other persons or entities doing business with the DOI. As an Auditor (Performance) you will perform assignments as part of complex performance audits, ... findings and explain significance of conclusions reached. You will serve as a Auditor (Performance) under the Pathways Recent Graduates Program within the Office of… more
- Rush University Medical Center (Chicago, IL)
- …8 Hr (8:00:00 AM - 4:30:00 PM) **Summary:** The Revenue Integrity Nurse Auditor position will use an eye for detail, collaboration, assessments, training skills, and ... are accurate. In a hybrid/remote setting, the Revenue Integrity Nurse Auditor reviews charges and clinical documentation, performs outside payor defense audits… 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