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Tax auditor Jobs in San Bernardino, CA
Claims Auditor
Prospect MedicalCA, United States- Promoted
Code Security Auditor
InterEx GroupOrange County, CA, USAUDITOR I
Department of Food & AgricultureSacramento County, USAuditor II
BlueCross BlueShield of South CarolinaCaliforniaSenior Premium Auditor
Howden Group HoldingsCalifornia, RemoteIT Auditor
Merit ServicesCAInternal Auditor
EsriCA, RedlandsASSOCIATE MANAGEMENT AUDITOR
Department of Veterans AffairsSacramento County, USASSOCIATE TAX AUDITOR, BOARD OF EQUALIZATION
CA Department of Tax and Fee AdministrationSacramento County, US- Promoted
Tax Senior
Regal Executive Search, LLCRiverside, CA, United StatesField Quality Auditor
EnerSysCA, USTAX AUDITOR, EMPLOYMENT DEVELOPMENT DEPARTMENT
Employment Development DepartmentLos Angeles County, USInternal Auditor
The Salvation ArmyRemote, CA- Promoted
- New!
TAX ASSOCIATE
H&R Block, Inc.Loma Linda, CA, United StatesAUDITOR I
Department of Developmental Services - HeadquartersSacramento County, US- Promoted
NIGHT AUDITOR
Larkspur Landing SacramentoCA, United StatesSenior IT Auditor
Bio-Rad Laboratories, Inc.California, United States- Promoted
NIGHT AUDITOR
Hyatt Place Riverside DowntownRiverside, CA, United States- Promoted
TAX ASSOCIATE
H&R BlockCA, United StatesGENERAL AUDITOR III
Department of Social ServicesSacramento County, USClaims Auditor
Prospect MedicalCA, United States- Full-time
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