Financial auditor Jobs in Sunnyvale, CA
Last updated: 21 hours 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
We are looking for a Data Entry Specialist whose main function is providing excellent customer service by quickly and accurately processing submissions sent electronically by our members.A Data Ent...Show moreLast updated: 30+ days ago
Are you a genuine people person who excels with numbers and has a passion for providing excellent customer service? Maple Tree Inn is seeking a night auditor / part-time guest service agent to join o...Show moreLast updated: 6 days ago
Job Title : Internal Auditor III.The auditor will be supporting the Infrastructure Internal Audit team for planning and performing audits, analyzing findings, and documenting results to support conc...Show moreLast updated: 3 days ago
The Night Auditor will responsible to conduct all nightly audit-related duties while providing guest service at the hotel's front desk.
Audit responsibilities balancing duties, daily paperwork, and ...Show moreLast updated: 30+ days ago
Associate should have 2+ years of experience with Claims Adjudication.Should have the knowledge in manual pricing with the following types of claims.
Medicare inpatient hospital claims, outpatient h...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
Balance revenue and settle accounts nightly, maintain files, and reset the system for the next day of operations while performing Guest Service Agent tasks and duties.
Front Office Supervisor / Accoun...Show moreLast updated: 6 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
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
The Night Auditor is responsible for the preparation and disposition of all Night Audit work.Responsible for the front desk operation during the overnight shift (Typically 11pm-7am).Primary respons...Show moreLast updated: 30+ days ago
Netflix is one of the world's leading entertainment services, with 283 million paid memberships in over 190 countries enjoying TV series, films and games across a wide variety of genres and languag...Show moreLast updated: 21 hours ago
EY focuses on high-ethical standards and integrity among its employees and expects all candidates to demonstrate these qualities.
At EY, you’ll have the chance to build a career as unique as you are...Show moreLast updated: 30+ days ago
San Jose, CaliforniaPay Range : $25.The purpose of a NIGHT AUDITOR is to compute, classify, and record numerical data to keep financial records complete.
Perform any combination of routine calculatin...Show moreLast updated: 20 days ago
Implement and manage the Coding Education Program by conducting focused audits, monitoring coder accuracy, and carrying out educational initiatives.
Develop and deliver coding education for assigned...Show moreLast updated: 30+ days ago
A company is looking for a Premium Auditor.Key ResponsibilitiesEngages in premium audit analyses to ensure proper premiums are being chargedAudits relevant policyholder records, including financial...Show moreLast updated: 2 days ago
Rate depends upon state / market and experience •.OTO Development is pleased to announce a wonderful opportunity for a.What will you be doing most days?.
Execute guest reservation, check-in, check-out,...Show moreLast updated: 30+ days ago
Claims Auditor
Prospect MedicalCA, United StatesFull-time
Auditor- Remote
Talent Sphere Staffing, California, ,Remote
Full-time
- Promoted
Night Auditor
Maple Tree Inn, Hogan HospitalitySunnyvale, CA, United States$19.00–$19.50 hourly
- Promoted
Internal Auditor
US Tech SolutionsMenlo Park, CA, US$60.00–$65.00 hourly
Night Auditor
Peachtree GroupSan Jose, CA, USFull-time
Claims Auditor
ReqRouteSan Jose, CA, USRemote
- Promoted
Night Auditor
Courtyard SunnyvaleSunnyvale, CA, United States Balance revenue and settle accounts nightly, maintain files, and reset the system for the next day of operations while performing Guest Service Agent tasks and duties.
Front Office Supervisor / Accoun...Show moreLast updated: 5 days ago
- Promoted
Night Auditor
Larkspur Landing SunnyvaleSunnyvale, CA, United States Balance revenue and settle accounts nightly, maintain files, and reset the system for the next day of operations while performing Guest Service Agent tasks and duties.
Front Office Supervisor / Accoun...Show moreLast updated: 3 days ago
AUDITOR I
Department of Food & AgricultureSacramento County, US 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
Auditor II
BlueCross BlueShield of South CarolinaCaliforniaFull-time
- Promoted
Night Auditor
Larkspur Landing MilpitasMilpitas, CA, United StatesFull-time
IT Auditor
Merit ServicesCA$70,000.00–$110,000.00 yearly
Full-time
AUDITOR I
Department of Developmental Services - HeadquartersSacramento County, USFull-time +2
Night Auditor
Aimbridge HospitalityCupertino, CA$24.38 hourly
Full-time
- Promoted
- New!
Technology Auditor
NetflixLos Gatos, CA, United States$240,000.00 yearly
Full-time
Auditor-Financial Accounting Advisory Services-FAAS-Manager-Multiple Positions-1506787
EYSan Jose, CA, USFull-time
Night Auditor
Stonebridge CompaniesAC Hotel San Jose Downtown$25.00 hourly
Full-time
Coding Auditor
RandstadLos Altos, California$49.19–$49.20 hourly
Full-time
- Promoted
Premium Auditor
VirtualVocationsSan Jose, California, United StatesFull-time
Night Auditor
OTO DevelopmentPalo Alto, CA, US$13.20–$15.10 hourly
Part-time
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