Internal auditor Jobs in Sunnyvale, CA
Last updated: 2 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
The Night Auditor at The Sheraton Palo Alto is responsible for providing guest-focused hospitality services, serving as a night shift resource for customer service, and ensuring the security and sa...Show moreLast updated: 8 days ago
Internal Medicine physician job in California : The Inline Group -.Benefits : - Medical plans available- dental, and vision plans covered by employer- Life and short term disability insurance- 403(...Show moreLast updated: 30+ 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
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: 2 days ago
As the global leader in third-party hotel management, our growing portfolio represents over 1,550 hotels in all 50 states and 22 countries, from top international lodging brands to luxury hotels, d...Show moreLast updated: 10 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
The Salvation Army exists to share the love of Jesus Christ, meet human needs and be a transforming influence in the communities of our world.
We are an innovative partner, mobilized to share hope w...Show moreLast updated: 6 days ago
Our client, a global technology company, is seeking an experienced Internal Audit Specialist to join their growing team.This is an exciting opportunity for individuals who have a strong background ...Show moreLast updated: 2 days ago
Job Description : Internal IT Auditor.We are seeking an experienced Internal IT Auditor to join our Internal Audit team.The auditor will be supporting the Infrastructure Internal Audit team for plan...Show moreLast updated: 10 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
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: 30+ 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
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
Night Auditor
The Sheraton Palo AltoPalo Alto, CA, US$25.00 hourly
- Promoted
Internal Medicine
The Inline GroupSan Jose, California$20,000.00 yearly
Full-time
- 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: 10 days ago
Night Auditor
Peachtree GroupSan Jose, CA, USFull-time
Claims Auditor
ReqRouteSan Jose, CA, USRemote
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
Technology Auditor
NetflixLos Gatos, CA, United States$240,000.00 yearly
Night Auditor
Aimbridge HospitalitySan Jose, CA, US$24.38 hourly
IT Auditor
Merit ServicesCA$70,000.00–$110,000.00 yearly
Internal Auditor
The Salvation ArmyRemote, CA$90,545.00 yearly
Remote
- Promoted
IT Internal Auditor IV
VirtualMenlo Park, CA, United StatesFull-time
- Promoted
IT Auditor
LHH Recruitment SolutionsMenlo Park, CA, United States$45.00–$60.00 hourly
Senior Internal Auditor
California Resources CorporationCalifornia, United States$95,000.00–$115,000.00 yearly
Full-time
Night Auditor
Maple Tree Inn, Hogan HospitalitySunnyvale, CA, US$19.00–$19.50 hourly
Coding Auditor
RandstadLos Altos, California$49.19–$49.20 hourly
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