- Optum (San Juan, PR)
- …(or facility) claims vs. medical records to determine if the claim is supported or unsupported Maintain standards for productivity and accuracy. Standards are ... . Positions in this function investigates Optum Waste and Error stopped claims by gathering information, researching state and federal guidelines, and following… more
- Paramedic Billing Services (Elmhurst, IL)
- …oversight of the Follow Up Department, leading a team to audit and process claims that reject, deny or need further investigation of conducting appeals and other ... ensuring staff meet deadlines. Collaborate with the Follow Up Auditor on projects and audits as well as deliver...Must be able to sit / stand for 8 hours minimum in an office environment Must be able… more
- County of Los Angeles, CA (Los Angeles, CA)
- …and our communities by providing extraordinary care. DEFINITION: Prepares reimbursement claims for health and/or mental health care provided under Federal, State ... requirements for Federal, State, and/or Special Programs to determine if claims for reimbursement conform to applicable rules and regulations and result… more
- Conduent (Los Angeles, CA)
- …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 ... to bending, reaching, kneeling, stooping and lifting up to thirty (30) pounds. ** ** ** Claims and Call Auditor (Call Center QC) - Clearwater, FL** ** ** PA123… 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
- WTW (Chicago, IL)
- **Description** As a Lead Auditor you will apply your audit, project management and client management skills to lead client audits. You will serve as the team leader ... administrators. You will review discrepancy issues identified by field auditors, re-adjudicate claims , resolve open issues, and draft the final report. You will… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Agriculture & Markets, Department of Title Auditor 1 or Trainee (NY HELPS) Occupational Category Other Professional Careers Salary Grade 18 ... Jurisdictional Class Competitive Class Travel Percentage 10% Workweek Mon-Fri Hours Per Week 37.5 Workday From 8:30 AM To...State Department of Agriculture and Markets is seeking an Auditor 1 or Trainee to work in Albany. The… more
- Commonwealth of Pennsylvania (PA)
- Auditor 1 Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5004985) Apply Auditor 1 Salary $51,971.00 - $79,062.00 Annually Location ... of Audits, Liquor Control Board Operations is seeking an Auditor 1 to join our team of professionals. With...Schedule and Additional Information: + Full-time employment + Work hours are 8:00 AM to 4:30 PM, Monday -… more
- Prime Therapeutics (San Diego, CA)
- …passion and drives every decision we make. **Job Posting Title** Onsite Pharmacy Auditor (based in California) **Job Description** The Onsite Pharmacy Auditor ... pharmacy audits and is responsible for the selection and auditing of claims , educating Prime's network pharmacies and driving contract compliance, and supporting… 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 ... Jurisdictional Class Competitive Class Travel Percentage 10% Workweek Mon-Fri Hours Per Week 37.5 Workday From 8:30 AM To...and advocate disputed cases at BCMS conferences and Small Claims Hearings; may participate at hearings as a witness… more
- New York State Civil Service (Brooklyn, NY)
- NY HELP Yes Agency Taxation & Finance, State Title Auditor 1 (Tax)/ Auditor Trainee 1 (Tax)/ Auditor Trainee 2 (Tax) (NY HELPS) Occupational Category ... Jurisdictional Class Competitive Class Travel Percentage 10% Workweek Mon-Fri Hours Per Week 37.5 Workday From 8:30 AM To...City Brooklyn State NY Zip Code 11201 Duties Description Auditor 1 (Tax) performs on-site field audits and examinations… more
- New York State Civil Service (Albany, NY)
- …accounting, auditing, or taxation, or 2. A bachelor's degree with 24 semester credit hours in accounting, auditing, or taxation courses. Auditor Trainee 2, NS: ... NY HELP Yes Agency Criminal Justice Services, Division of Title Auditor 1/ Auditor Trainee Occupational Category Other Professional Careers Salary Grade 18… more
- The County of Los Angeles (Los Angeles, CA)
- INTERNAL AUDITOR / ACCOUNTANT- AUDITOR Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4103628) INTERNAL AUDITOR / ACCOUNTANT- ... CA Job Type Full time Job Number S0675I Department AUDITOR -CONTROLLER Opening Date 07/21/2025 Closing Date 7/25/2025 5:00 PM...address, job title, beginning and ending dates, number of hours worked per week, and description of work performed.… more
- Commonwealth of Pennsylvania (PA)
- Budget Analyst 2, Auditor General Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/5005964) Apply Budget Analyst 2, Auditor General Salary ... Permanent Full-time Job Number N-2025-29834 Department Department of the Auditor General Division AU Off Bdgt Fin Mgmt Opening...Schedule and Additional Information: + Full-time employment + Work hours are 8:00 AM to 4:30 PM, Monday -… 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
- Sharp HealthCare (San Diego, CA)
- …certificate; Certified Health Care Compliance (CHC) - Compliance Certification Board ** Hours ** **:** **Shift Start Time:** Variable **Shift End Time:** Variable ... **AWS Hours Requirement:** 8/40 - 8 Hour Shift **Additional Shift...business practices. **What You Will Do** The Compliance Coding Auditor is responsible for the administration of the Sharp… 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 - ... Appointment Type Permanent Jurisdictional Class Unclassified Service Travel Percentage 0% Workweek Mon-Fri Hours Per Week 40 Workday From 8 AM To 5 PM Flextime… more
- Health Advocates Network (Albany, NY)
- Health Advocates Network is currently seeking a ** Auditor ** to work at a facility in **Albany, NY.** These are _registry_ positions with our company. **Pay Rate:** ... $32 / hour *W2 **Shift Details:** + M-F, 37.5 hours , 8 hour day **Job Descriptions:** The successful candidates...include: * Perform desk reviews of fiscal reports and claim for payment voucher packets collected from EMS Grantees,… more
- City of Chicago (Chicago, IL)
- **Description:** **BID/JOB ANNOUNCEMENT** AUDITOR III Department of Finance Tax Division **Number of Positions:** **2** **(Additional vacancies are possible pending ... works on some more advanced discovery investigations and refund claims . . Designs audit programs and figures out a...St. 13 th Floor, Chicago, IL 60602 Shift: Monday-Friday Hours : 8:30 am to 4:30 pm **(** **_Shift may… more
