Auditor I, Medicare
Columbia, SC ยท On-site
Assists other auditors in completing their assignments as a means of maximizing audit efficiency ... We will make a determination regarding your request for reasonable accommodation on a case-by-case ...
Columbia, SC ยท On-site
Assists other auditors in completing their assignments as a means of maximizing audit efficiency ... We will make a determination regarding your request for reasonable accommodation on a case-by-case ...
Columbia, SC ยท On-site
Assists other auditors in completing their assignments as a means of maximizing audit efficiency ... We will make a determination regarding your request for reasonable accommodation on a case-by-case ...
Assists other auditors in completing their assignments as a means of maximizing audit efficiency ... We will make a determination regarding your request for reasonable accommodation on a case-by-case ...
Assists other auditors in completing their assignments as a means of maximizing audit efficiency ... We will make a determination regarding your request for reasonable accommodation on a case-by-case ...
The SIU Code Auditor will conduct coding audits of medical records provided by providers to check ... Case management and professional standards: Manage daily case review assignments with a strong ...
The SIU Code Auditor will conduct coding audits of medical records provided by providers to check ... Case management and professional standards: Manage daily case review assignments with a strong ...
Worcester, MA ยท On-site
The SIU Code Auditor will conduct coding audits of medical records provided by providers to check ... Case management and professional standards: Manage daily case review assignments with a strong ...
Worcester, MA ยท On-site
The SIU Code Auditor will conduct coding audits of medical records provided by providers to check ... Case management and professional standards: Manage daily case review assignments with a strong ...
Sales Tax Auditor About Us Sales Tax Helper, LLC is a fast-growing sales tax firm representing ... Matters move efficiently with organized, professional case handling * You become a trusted "go-to ...
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Sales Tax Auditor About Us Sales Tax Helper, LLC is a fast-growing sales tax firm representing ... Matters move efficiently with organized, professional case handling * You become a trusted "go-to ...
Apply Early
New Orleans, LA ยท On-site
$60K/yr
Continuous Kind of Work Responsible professional auditing work supervising subordinate auditing ... Additional exceptions to the domicile requirement may be made on a case-by-case basis. We encourage ...
New Orleans, LA ยท On-site
$60K/yr
Continuous Kind of Work Responsible professional auditing work supervising subordinate auditing ... Additional exceptions to the domicile requirement may be made on a case-by-case basis. We encourage ...
... and case plans Help improve internal processes, templates, and audit workflows QualificationsRequired 3-5+ years of experience as a state sales and use tax auditor (Department of Revenue or ...
New
... and case plans Help improve internal processes, templates, and audit workflows QualificationsRequired 3-5+ years of experience as a state sales and use tax auditor (Department of Revenue or ...
New
New Orleans, LA ยท On-site
$60K/yr
Kind of Work Responsible professional auditing work supervising subordinate auditing personnel and ... Additional exceptions to the domicile requirement may be made on a case-by-case basis. We encourage ...
New Orleans, LA ยท On-site
$60K/yr
Kind of Work Responsible professional auditing work supervising subordinate auditing personnel and ... Additional exceptions to the domicile requirement may be made on a case-by-case basis. We encourage ...
Phoenix, AZ ยท On-site +1
$89K - $188K/yr
Trustee Program | Auditor Recruitment * Learn more about this agency Duties Help About the U.S ... case and during its pendency; and, * Ensure the debtor's compliance with required forms and ...
Phoenix, AZ ยท On-site +1
$89K - $188K/yr
Trustee Program | Auditor Recruitment * Learn more about this agency Duties Help About the U.S ... case and during its pendency; and, * Ensure the debtor's compliance with required forms and ...
Grove City, OH ยท On-site
$14 - $18.75/hr
The Night Auditor works as a Guest Service Representative and member of the Front Desk Team ... Serves as acting Manager on Duty in the case of an incident or emergency. Conducts property ...
Grove City, OH ยท On-site
$14 - $18.75/hr
The Night Auditor works as a Guest Service Representative and member of the Front Desk Team ... Serves as acting Manager on Duty in the case of an incident or emergency. Conducts property ...
New Orleans, LA ยท On-site
$13.75 - $18.50/hr
The Night Auditor works as a Guest Service Representative and member of the Front Desk Team ... Serves as acting Manager on Duty in the case of an incident or emergency. Conducts property ...
New Orleans, LA ยท On-site
$13.75 - $18.50/hr
The Night Auditor works as a Guest Service Representative and member of the Front Desk Team ... Serves as acting Manager on Duty in the case of an incident or emergency. Conducts property ...
Orange, CA ยท On-site
$26/hr
Operations & Compliance Auditor Healthcare is increasingly unaffordable for many Americans. For ... Conduct risk-based audits across calls, case documentation, emails, texts, escalations, exceptions ...
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Orange, CA ยท On-site
$26/hr
Operations & Compliance Auditor Healthcare is increasingly unaffordable for many Americans. For ... Conduct risk-based audits across calls, case documentation, emails, texts, escalations, exceptions ...
Apply Early
Brookfield, WI ยท On-site
$14 - $18.75/hr
The Night Auditor works as a Guest Service Representative and member of the Front Desk Team ... Serves as acting Manager on Duty in the case of an incident or emergency. Conducts property ...
Brookfield, WI ยท On-site
$14 - $18.75/hr
The Night Auditor works as a Guest Service Representative and member of the Front Desk Team ... Serves as acting Manager on Duty in the case of an incident or emergency. Conducts property ...
Secaucus, NJ ยท On-site
$15.25 - $20.25/hr
The Night Auditor works as a Guest Service Representative and member of the Front Desk Team ... Serves as acting Manager on Duty in the case of an incident or emergency. Conducts property ...
Secaucus, NJ ยท On-site
$15.25 - $20.25/hr
The Night Auditor works as a Guest Service Representative and member of the Front Desk Team ... Serves as acting Manager on Duty in the case of an incident or emergency. Conducts property ...
Milwaukee, WI ยท On-site
$14.75 - $19.75/hr
The Night Auditor works as a Guest Service Representative and member of the Front Desk Team ... Serves as acting Manager on Duty in the case of an incident or emergency. Conducts property ...
Milwaukee, WI ยท On-site
$14.75 - $19.75/hr
The Night Auditor works as a Guest Service Representative and member of the Front Desk Team ... Serves as acting Manager on Duty in the case of an incident or emergency. Conducts property ...
San Antonio, TX ยท Remote
$23.50 - $26.75/hr
Completion of a coding program from other licensing bodies shall be accepted on a case by case ... The Coding Educator & Auditor must maintain a valid credential offered by the accrediting bodies ...
San Antonio, TX ยท Remote
$23.50 - $26.75/hr
Completion of a coding program from other licensing bodies shall be accepted on a case by case ... The Coding Educator & Auditor must maintain a valid credential offered by the accrediting bodies ...
San Antonio, TX ยท On-site
$25.10 - $40.25/hr
Completion of a coding program from other licensing bodies shall be accepted on a case by case ... The Coding Educator & Auditor must maintain a valid credential offered by the accrediting bodies ...
San Antonio, TX ยท On-site
$25.10 - $40.25/hr
Completion of a coding program from other licensing bodies shall be accepted on a case by case ... The Coding Educator & Auditor must maintain a valid credential offered by the accrediting bodies ...
San Antonio, TX ยท Remote
$24.50 - $28/hr
Completion of a coding program from other licensing bodies shall be accepted on a case by case ... The Coding Educator & Auditor must maintain a valid credential offered by the accrediting bodies ...
San Antonio, TX ยท Remote
$24.50 - $28/hr
Completion of a coding program from other licensing bodies shall be accepted on a case by case ... The Coding Educator & Auditor must maintain a valid credential offered by the accrediting bodies ...
Aurora, CO ยท On-site
$64K/yr
The Compliance Auditor, Healthcare Services will serve as the day-to-day quality control auditor ... Additional related experience will be evaluated on a case-by-case basis and may substitute for ...
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Aurora, CO ยท On-site
$64K/yr
The Compliance Auditor, Healthcare Services will serve as the day-to-day quality control auditor ... Additional related experience will be evaluated on a case-by-case basis and may substitute for ...
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Aurora, CO ยท On-site
$64K/yr
The Compliance Auditor, Healthcare Services will serve as the day-to-day quality control auditor ... Additional related experience will be evaluated on a case-by-case basis and may substitute for ...
Aurora, CO ยท On-site
$64K/yr
The Compliance Auditor, Healthcare Services will serve as the day-to-day quality control auditor ... Additional related experience will be evaluated on a case-by-case basis and may substitute for ...
$30.5K - $38.4K
4% of jobs
$38.4K - $46.3K
14% of jobs
$48.6K is the 25th percentile. Wages below this are outliers.
$46.3K - $54.2K
24% of jobs
The median wage is $60.8K / yr.
$54.2K - $62.1K
9% of jobs
$62.1K - $70K
7% of jobs
$70K - $78K
6% of jobs
$78K - $85.9K
6% of jobs
$92.3K is the 75th percentile. Wages above this are outliers.
$85.9K - $93.8K
4% of jobs
$93.8K - $101.7K
6% of jobs
$101.7K - $109.6K
6% of jobs
$109.6K - $117.5K
12% of jobs
$30.5K
$72.6K
$117.5K
| Aspect | Case Auditor | Claims Processor |
|---|---|---|
| Required Credentials | Typically requires a background in insurance, auditing, or related certifications | Often requires knowledge of claims processing systems and insurance policies |
| Work Environment | Office setting, reviewing cases, auditing claims for accuracy | Office environment, processing insurance claims and data entry |
| Employer & Industry Usage | Insurance companies, third-party administrators | Insurance companies, healthcare providers, government agencies |
| Comparison Search Intent | Understanding auditing roles in claims review | Learning about claims processing tasks |
The main difference between a Case Auditor and a Claims Processor lies in their focus. A Case Auditor reviews and verifies insurance claims for accuracy and compliance, often performing audits and quality checks. In contrast, a Claims Processor handles the initial processing of claims, entering data, and ensuring claims are correctly submitted. Both roles are essential in the insurance industry but serve different stages of the claims management process.
Full-time
Posted 29 days ago
Conducts audits of the financial, management, and administrative procedures of assigned divisions, providers, departments, and various lines of businesses throughout the organization to ensure that procedures are in compliance. Audits include interviewing key personnel, conducting testing, evaluating internal controls, analyzing existing financial and management practices to determine effectiveness, and reviewing relevant documentation to support findings.
Develops detailed reports on each audit conducted. Reports include a review of findings and an identification of recommendation to correct any deficiencies and methods for improvement to processes. Conducts testing of corrective actions as identified.
Conducts special audit studies for management, such as those required to discover controls for prevention of fraud. Prepares reports of finding and recommendations for management.
Assists other auditors in completing their assignments as a means of maximizing audit efficiency and thus reducing lost time and involvement of corporate personnel.
Required Education: Bachelors in a job-related field
Required Work Experience: No previous work experience required.
Required Skills and Abilities: Knowledge of the principles and practices of auditing. Ability to analyze and determine the applicability of financial data. Ability to draw conclusions and make appropriate recommendations for analyzed data. Ability to gather information by examining records and documents and interviewing individuals. Strong interpersonal skills and the ability to work professionally with persons at all levels. Ability to communicate clearly and effectively in oral and written form. Ability to handle sensitive matters on a confidential basis.
Required Software and Tools: Microsoft Office.
Preferred Licenses and Certificates: Certified Internal Auditor (CIA) or Certified Public Accountant (CPA) or Certified Information Systems Auditor (CISA)
Work Environment: Typical office environment. Travel between office buildings required. Out of town travel may be required.
Equal Employment Opportunity Statement
BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilitiesand protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations.
We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.
If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.comor call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis.
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