- Randstad US (Duluth, GA)
- hybrid medical claims auditor (6 weeks). + duluth , georgia + posted 6 days ago **job details** summary + $20 - $23 per hour + temporary + high school + category ... + referenceAB_4525885 job details Are you an experienced Medical Claims specialist or Revenue Cycle Specialist who is skilled...or Revenue Cycle Specialist who is skilled in auditing claims ? We are looking for 6 temporary employees to… more
- Centers Plan for Healthy Living (Staten Island, NY)
- Claims Auditor 75 Vanderbilt Ave, Staten Island, NY 10304, USA Req #1153 Monday, April 29, 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
- 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
- Universal Health Services (Riverside, CA)
- …guidelines and requirements. 2. Daily track and report both financial and clerical claims processing errors in the auditor Access database program, and report ... and receive care. SUMMARY: Responsible for auditing and training claims staff on all Managed Care claims ...is logged in the Batch Control section of the Auditor database, communicate to the appropriate Customer Service staff… more
- Molina Healthcare (Albuquerque, NM)
- …Care, Tribal, Value Added, Community, Tribal 638, Tribal Governments, TCBOs, HSD/MAD, Claims Examiner, Auditor , Claims Processor, \#PJHPO \#LI-AC1 Pay ... **Molina Healthcare** is hiring in **New Mexico** for several **Billing & Claims , Tribal Liaisons** . These roles are specifically responsible for working with… more
- AmeriHealth Caritas (Philadelphia, PA)
- …services. Discover more about us at **www.amerihealthcaritas.com.** **Responsibilities:** The Provider Claims Inquiry Team Medical Coding Auditor reviews medical ... **Medical Coding Auditor | Certification Required (Remote, USA)** Location: Remote,...support related to coding and billing issues. The Provider Claims Inquiry Team identifies potential overpayments due to suspected… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Criminal Justice Services, Division of Title Auditor 1/ Auditor Trainee Occupational Category Other Professional Careers Salary Grade NS ... City Albany State NY Zip Code 12210 Minimum Qualifications NON-COMPETITIVE MINIMUM QUALIFICATIONS: Auditor Trainee 1, NS: You must have either: 1. A bachelor's degree… more
- New York State Civil Service (Hauppauge, 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 ... for appointment through NYS HELPS, you must meet the following minimum qualifications: AUDITOR TRAINEE 1:1. Possess a bachelor's degree in accounting, auditing, or… more
- Iowa Department of Administrative Services (State Of Iowa, IA)
- Employer Auditor Print (https://www.governmentjobs.com/careers/iowa/jobs/newprint/4495252) Apply Employer Auditor Salary $50,252.80 - $76,336.00 Annually ... Description Iowa Workforce Development is seeking applicants for the position of Employer Auditor . This position will be domiciled at one of the following IowaWORKS… more
- New York State Civil Service (Hauppauge, NY)
- NY HELP Yes Agency Taxation & Finance, State Title Auditor Trainee 1 (Tax) (NY HELPS) Occupational Category Financial, Accounting, Auditing Salary Grade 14 ... 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
- Federal Retirement Thrift Investment Board (Washington, DC)
- …is looking for a highly qualified and motivated individual to serve as an Auditor . This Job Opportunity Announcement (JOA) may be used to fill other Auditor ... and participates in entrance conferences and walkthrough meetings. Coordinates external auditor request for documentation and interviews with Agency Offices. Obtains… more
- Elevance Health (Tampa, FL)
- **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
- State of Georgia (Fulton County, GA)
- Investigative Auditor - Medicaid Fraud Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/52416/other-jobs-matching/location-only) New Hot Legal Law, ... 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
- State of Maine, Bureau of Human Resources (Augusta, ME)
- Auditor II - Workers Compensation Board Augusta , Maine , United States | Accounting, Business & Finance | Full-time Apply by: May 10, 2024 Apply with Linkedin Apply ... lead worker over other audit staff on larger assignments. This classification is differentiated from Auditor I in that work at the Auditor II level is typically… more
- Hackensack Meridian Health (Hackensack, NJ)
- …as a leader of positive change. The **Diagnosis Related Group (DRG) Auditor ** is responsible for auditing clinical documentation that supports code assignment for ... includes compliance with the Conditions of Participation for CMS. The DRG auditor is responsible for ensuring coding accuracy, coding consistency and efficiency in… more
- City of Toledo (Toledo, OH)
- Tax Auditor Print (https://www.governmentjobs.com/careers/toledooh/jobs/newprint/1603611) Apply Tax Auditor Salary $55,475.68 - $58,393.92 Annually Location ... of the bookkeeping entry. + Audits returns and refund claims , reviewing all aspects prior to processing refunds. +...the Department of Human Resources at ###. Class Code:Tax Auditor (1373) The City of Toledo provides excellent health… more
- Universal Health Services (Richmond, VA)
- …The Atlantic Region CBO is seeking a dynamic and talented Senior Nurse Auditor . The primary responsibility of the Senior Nurse Auditor is guiding ... to third party payers to obtain reimbursement for denied claims . + Make decisions to downgrade inpatient claims...creating and maintaining work flow processes to help nurse auditor team to be proficient in department responsibilities. +… 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
- ManpowerGroup (Rancho Cucamonga, CA)
- …of the Provider Claims Resolution & Recovery Supervisor, the Provider Recovery Auditor is responsible for the audit and recovery of claims overpayments ... **Title: Auditor - Provider Recovery** **Location:** **Rancho Cucamonga, CA...and third-party liability. **Responsibilities:** **Qualification:** + Four (4) years claims processing experience including Medicare and Med-Cal + Two… more