- City of New York (New York, NY)
- Job Description The Internal Auditor is responsible to the Director of Internal Audit for the satisfactory completion of the following tasks: Under general ... reports. - Participates in and reviews the processing of fiscal documents, claims , financial statements, and the accounting for the receipt, deposit and disbursement… more
- Dignity Health (Rancho Cordova, CA)
- …Under the supervision of the Business Office Leadership, the Business Office Auditor role is responsible for monitoring the quality of work performed within ... Requires: + Knowledge of physician billing regulations + Understanding of professional claims and billing procedures + Knowledge of Federal and State regulations… more
- Bozeman Health (Bozeman, MT)
- Position Summary: The Compliance Auditor supports an effective compliance program by planning and executing risk-based audits, monitoring adherence to federal and ... Intermediate knowledge and experience with electronic health records (EHR) systems (preferably Epic) and compliance/audit management tools. + Intermediate knowledge… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …member of the Audit and Risk Management (ARM) team, the Senior Internal Auditor will lead and execute a variety of financial, operational, and risk-based audits ... reporting and risk-based audits of these areas (eg Enrollment, Premiums, Claims Operations, Provider Enrollment and Pricing, Accounting, and Information Technology… more
- Covenant Health Inc. (Knoxville, TN)
- …to ensure compliance. + Reviews information from third party payers relative to claims charging, coding, and billing in order to ensure compliance. + Performs ... with health information management, Revenue Integrity, patient accounting, information systems and other personnel to assist with implementation of solutions… more
- City of New York (New York, NY)
- …of guidance. - Conduct and perform reviews/audits and analyze reimbursement claims , conduct field/site visits to ensure compliance with Local laws/regulations, ... direction, conduct detailed fiscal/operational and financial audit reviews to evaluate systems of internal control effectiveness. This includes reviews of invoices,… more
- Commonwealth Care Alliance (Boston, MA)
- …on financial ability and forecasting for small to large Operations Management + Collaborate system and data configuration into CES ( Claims Editing System ) ... claims auditing and/or utilization review required + 7+ years experience with Optum Claims Editing System (CES), Zelis, Lyric or other editing tools +… more
- DoorDash (Tempe, AZ)
- …company's bottom line. The team is divided into three separate subgroups: Actuarial, Claims Operations, and Risk Management & Mitigation. We are looking for forward ... DoorDash. About the Role We are seeking an experienced claims specialist who will be a member of DoorDash's...CRMs, G-Suite, and related tools. + Manage multiple operating systems simultaneously. + Maintain a high level of confidentiality… more
- Hartford HealthCare (Farmington, CT)
- …become part of Connecticut's most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and growing group of ... and our departments now work on behalf of the system as a whole, rather than a single member....*__* *_Position Summary:_* The Quality Revenue Cycle Billing and Auditor Specialist is responsible for ensuring accuracy, compliance, compliance… more
- UPMC (Pittsburgh, PA)
- …of working from home and in the office two days per week. The Insurance Auditor Associate is primarily responsible for the review of high dollar claims and ... confidentiality. + Understands customers including internal Health Plan Departments (ie claims staff, customer service, Marketing, etc.) and external customers (ie… more