- Gates Chili Central School District (Rochester, NY)
- Deputy Internal Claims Auditor JobID: 1222 + Position...prejudice of all forms. Deputy Internal Claims Auditor To audit and approve each claim ... Type: Miscellaneous/ Internal Claims Auditor + Date Posted: 5/13/2025 + Location: Gates Chili...contracted wages and debt service) processed through Accounts Payable. Claims auditor reports directly to the Board… more
- Monroe One Boces (Fairport, NY)
- Internal Claims Auditor JobID: 2168 + Position...class. DUTIES: 1. Verify and audit appropriateness of all claims for payments. 2. Examine all claim ... Type: Support Staff/ Internal Claims Auditor + Date Posted: 6/4/2025 +...they are disbursed. 11. Approve and certify that each claim listed on the warrant was audited and payment… more
- Robert Half Accountemps (Los Angeles, CA)
- Description The Claims Auditor reports functionally to the Administrative Manager but takes most direction from the Claims Manager. The Claims Auditor ... Auditor will be responsible for the monitoring of claims to ensure compliance with the Summary Plan Description,...conduct daily audits, focus audits, and random audits of claim payment as established in the Claims … more
- Conduent (Warren, MI)
- …and be part of a culture where individuality is noticed and valued every day. ** Claims Auditor ** **Position is onsite in Warren, MI** Training: Mon- Thur ( On ... claim reviews. **Responsibilities:** + Validate costs for Supplier Claims according to contract Terms & Conditions. + Generate...approach. + Drive timely closure of open audits and claim settlements (reduce aging of claims ). +… more
- 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
- Conduent (Dallas, TX)
- …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
- CHS (Clearwater, FL)
- **Overview** ** ** ** Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** **Summary** The Claims & Call Auditor audits processed medical ... kneeling, stooping and lifting up to thirty (30) pounds. ** ** ** Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** PA123 **Job Locations**… more
- Conduent (Alexandria, VA)
- …where individuality is noticed and valued every day. **Pharmacist - Claims Auditor /Reviewer (Part-Time)** **Conduent Payment Integrity Solutions** **Are you ... audits on behalf of major healthcare payers. As a **Pharmacist - Claims Auditor /Reviewer** , you'll apply your clinical knowledge and regulatory expertise… more
- Sedgwick (Fayetteville, NC)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Compliance Auditor | Dedicated Client | Liability & Auto experience ... plus.** **No Licensing required** **PRIMARY PURPOSE** **:** To monitor claims colleague technical activities at a claim ...monitor claims colleague technical activities at a claim file level by conducting audit with a focus… 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
- Centers Plan for Healthy Living (Staten Island, NY)
- …Responsible for the auditing functions of Centers Plan for Healthy Living (CPHL) claims . Collaborates with other Health plan departments and Management to ensure ... claims are processed in accordance with Federal, State and...results to recommend system or procedural changes to increase claim accuracy and/or identify opportunities for workflow enhancements. +… more
- Commonwealth of Pennsylvania (PA)
- Field Auditor 2 (Local Government) - Allegheny County Support Administration Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4928466) Apply ... Field Auditor 2 (Local Government) - Allegheny County Support Administration...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- Commonwealth of Pennsylvania (PA)
- Southcentral Financial Consultant ( Auditor 2) Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4962301) Apply Southcentral Financial Consultant ... ( Auditor 2) Salary $58,035.00 - $88,235.00 Annually Location *Home...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- Commonwealth of Pennsylvania (PA)
- Auditor 1 Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4964738) 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
- 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)
- Field Auditor 3 (Local Government) - Allegheny Co Support Admin Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4962984) Apply Field ... Auditor 3 (Local Government) - Allegheny Co Support Admin...attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements.… more
- Planned Parenthood of Central and Western NY (Rochester, NY)
- Billing Auditor for Shared Services Fully Remote * Rochester, Buffalo, or Syracuse, NY * Revenue Cycle Description Billing Auditor for Shared ServicesBuffalo, ... of PPCWNY's mission and the collaboration with Shared Services, the Billing Auditor evaluates Revenue Cycle outcomes to identify and recommend opportunities for… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Civil Service, Department of Title Internal Auditor 1, or Trainee 1 / Trainee 2 Occupational Category Other Professional Careers Salary Grade NS ... into NYSHIP's databases. Under the direction of an Internal Auditor 2 the Internal Auditor 1, or...Experience and competence in medical fields, medical research, medical claims , Access, Pandas, Anaconda, SQL, and/or Python is preferred.… more
- New York State Civil Service (Albany, 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 Albany State NY Zip Code 12227 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
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