Auditor Jobs in Fairfield, CA
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Auditor • fairfield ca
Last updated: 30+ days ago
The Claims Auditor performs analysis and monitors trends identified through the audit process.This individual will take the lead to ensure accurate and timely adjudication of claims, as well as ide...Show moreLast updated: 30+ days ago
EMS / OHS / QMS Third Party Auditor - Southern California.This is a fantastic opportunity to grow a versatile career in.This will be a travel-based position, with extensive travel to client sites requi...Show moreLast updated: 30+ days ago
Travis Credit Union's (TCU) Internal Auditors are consultants to internal business providing insightful feedback on potential risk as a result of conducting focused internal audits.By acting as the...Show moreLast updated: 30+ days ago
In-person interviews are anticipated to be held two weeks after every cutoff date.Act quickly to apply for this hybrid position, where you’ll enjoy up to 40% (two days) remote work, each week! We l...Show moreLast updated: 30+ days ago
Are you looking for a rewarding career supporting a dynamic office in the Department of Justice's Office of General Counsel Division? The Office of Program Oversight and Accountability (OPOA) is se...Show moreLast updated: 30+ days ago
Responsible for providing a full range of financial, compliance, and operational audits, business advisory and consultation services, investigations, internal controls, accountability, and use of r...Show moreLast updated: 30+ days ago
Under the supervision of the Branch Chief and with guidance from a General Auditor II or III, the Auditor I performs routine audits of handlers to determine whether correct assessments have been re...Show moreLast updated: 30+ days ago
Staff Services Management Auditor will also be considered.Please see Job Control 434803, Position number 541-023-5841-XXX, if you wish to apply for the Staff Services Management Auditor position.Pl...Show moreLast updated: 30+ days ago
At DUAL North America, our core values dictate how we live and work.We are a group with independence and people at its heart and we are a home for talent with a unique culture : the biggest small co...Show moreLast updated: 30+ days ago
Merit Services is seeking IT Auditorto join our client’s dynamic team in Kelowna.As an IT Auditor, your responsibilities will involve analyzing potential risks, assessing the effectiveness of contr...Show moreLast updated: 30+ days ago
We are looking for a quality-focused and detail-oriented individual to join our Warehouse growing team.If you are ready to take your logistics career to the next level, we encourage you to apply! W...Show moreLast updated: 30+ days ago
This is a re-advertisement; if you previously applied for this position, your application is being considered and there is no need to reapply.
This is an exciting opportunity to join our team at the...Show moreLast updated: 30+ days ago
THIS POSITION MAY BE ELIGIBLE FOR A HYBRID WORK SCHEDULE.THE AMOUNT OF TELEWORK IS AT THE DISCRETION OF THE DEPARTMENT AND IS SUBJECT TO CHANGE AS BUSINESS NEEDS ARISE.
The Employment Development De...Show moreLast updated: 30+ days ago
Working for a leader in the insurance industry means opportunity for you.Great American Insurance Group’s member companies are subsidiaries of American Financial Group.
We combine a "small company" ...Show moreLast updated: 30+ days ago
EnerSys is the global leader in stored energy solutions for industrial applications.We have over thirty manufacturing and assembly plants worldwide servicing over 10,000 customers in more than 100 ...Show moreLast updated: 30+ days ago
All applicants will be considered, however SROA / Surplus candidates will be given priority.Are you interested in making life better for Californians? Are you looking for a career and not just a job?...Show moreLast updated: 30+ days ago
If you previously applied, you application is still being considered, no need to re-apply.This is an entry level auditor position.
Under the direction of a Supervising Governmental Auditor I, the Au...Show moreLast updated: 30+ days ago
Cutoff Dates : The first application cutoff will be May 15, 2024 and the second application cutoff will be July 10, 2024.
Current state employees with or are encouraged to apply.Additional hires may ...Show moreLast updated: 30+ days ago
Senior Internal Auditor-00014152.California Resources Corporation.California Resources Corporation is a publicly traded oil and natural gas exploration and production company and the largest oil an...Show moreLast updated: 30+ days ago
Under the general direction of the Staff Services Manager I (SSM I), the General Auditor III (GA III) uses a full range of financial management analyses to evaluate the continuing care retirement c...Show moreLast updated: 30+ days ago
Claims Auditor
Prospect MedicalCA, United StatesFull-time
EMS / OHS / QMS Auditor - Southern California
IntertekCA, United StatesFull-time
- Promoted
INTERNAL AUDITOR
Travis Credit UnionVacaville, CA, United StatesFull-time
STAFF MANAGEMENT AUDITOR
Public Employees Retirement SystemSacramento County, USFull-time +2
STAFF SERVICES MANAGEMENT AUDITOR
Department of JusticeSacramento County, USFull-time +2
Auditor II
BlueCross BlueShield of South CarolinaCaliforniaFull-time
AUDITOR I
Department of Food & AgricultureSacramento County, USFull-time +2
ASSOCIATE MANAGEMENT AUDITOR
Department of Forestry & Fire ProtectionSacramento County, USFull-time +2
Senior Premium Auditor
Howden Group HoldingsCalifornia, RemoteRemote
Full-time
IT Auditor
Merit ServicesCAFull-time
Warehouse Quality Auditor
Schneider ElectricCalifornia, CA, USFull-time
ASSOCIATE MANAGEMENT AUDITOR
Department of Veterans AffairsSacramento County, USFull-time +2
ASSOCIATE MANAGEMENT AUDITOR
Employment Development DepartmentSacramento County, USFull-time +2
Senior Field Premium Auditor
RICA Republic Indemnity Company of AmericaCalifornia, USAFull-time
Field Quality Auditor
EnerSysCA, USFull-time
ASSOCIATE TAX AUDITOR, BOARD OF EQUALIZATION
CA Department of Tax and Fee AdministrationSacramento County, USFull-time +2
AUDITOR I
Department of Developmental Services - HeadquartersSacramento County, USFull-time +2
AUDITOR EVALUATOR II
California State Auditor's OfficeSacramento County, USFull-time +2
Senior Internal Auditor
California Resources CorporationCalifornia, United StatesFull-time
GENERAL AUDITOR III
Department of Social ServicesSacramento County, USFull-time +2
The average salary range is between $ 53,750 and $ 110,000 year , with the average salary hovering around $ 79,792 year .
- nurse anesthetist (from $ 135,000 to $ 245,000 year)
- corporate strategy (from $ 155,000 to $ 245,000 year)
- clinical director (from $ 115,000 to $ 240,850 year)
- materials engineer (from $ 58,500 to $ 232,900 year)
- psychiatrist (from $ 30,000 to $ 231,000 year)
- medical liaison (from $ 170,200 to $ 228,000 year)
- machine learning (from $ 151,875 to $ 227,500 year)
- chief information officer (from $ 161,583 to $ 225,000 year)
- director of business development (from $ 135,000 to $ 225,000 year)
- real estate development (from $ 60,000 to $ 225,000 year)
- Boston, MA (from $ 72,161 to $ 117,000 year)
- Minneapolis, MN (from $ 41,600 to $ 116,700 year)
- San Francisco, CA (from $ 38,004 to $ 114,847 year)
- San Antonio, TX (from $ 37,894 to $ 112,804 year)
- San Jose, CA (from $ 37,083 to $ 112,636 year)
- San Diego, CA (from $ 37,496 to $ 112,578 year)
- Los Angeles, CA (from $ 48,747 to $ 111,632 year)
- San Bernardino, CA (from $ 37,050 to $ 111,124 year)
- New York, NY (from $ 38,893 to $ 110,624 year)
- Sacramento, CA (from $ 50,655 to $ 110,359 year)
The average salary range is between $ 31,200 and $ 92,502 year , with the average salary hovering around $ 49,744 year .
Claims Auditor
Prospect MedicalCA, United States30+ days ago
Job type
- Full-time
Job description
The Claims Auditor performs analysis and monitors trends identified through the audit process. This individual will take the lead to ensure accurate and timely adjudication of claims, as well as identifying potential issues and recommending strategies for resolution. Apply claim and / or inquiry processing experience to audit and analyze simple to advanced-level claims processing procedures and workflows.
Job Responsibilities / Duties
- Apply claim processing experience to audit and analyze all levels of claims processing procedures and workflows. Requires the ability to audit claims accurately. Independently run reports on errors identified for potential error trends and report the results to Claims Management and Claims Trainer. Additionally assist in the processing of PDRs , Health Plan Cap Deducts, and claims processing.
- Handle special projects from external provider and internal departments. Must have the ability to accurately make the necessary adjustments for underpayments and review overpayment requests for Claims Recovery Specialist.
- Independently audit and analyze high dollar claims and checks prior to the issuance of funds. Must possess the ability to analyze Claims EOB and balance check amounts according to Claims processing guidelines.
- Analyze and prepare Health plan claims selections for Annual health plan audit. Review samples provider by clerical staff and ensure claims payments are accurate and all documentations required by the health plan auditor is present at the time of audit.
- Assist the Recovery Specialist in corresponding with external providers regarding Claims Overpayment requests. Requires the ability to communicate and analyze Claims processing methodologies according to CMS and DMHC guidelines.
Qualifications
Minimum Education : High School Diploma or Equivalent. BS / BA preferred.
Minimum Experience : Two to three (2-3) years previous experience as medical claims Auditor or 3-5 years previous experience examining medical Claims preferred. Preferably in an IPA, MSO, or Medical Group setting.
Req. Certification / Licensure : None