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Peraton
Peraton
H1B वीज़ा प्रायोजकपरामर्शलॉजिस्टिक्सस्वास्थ्य सेवा
Peraton एक मिशन-केंद्रित उद्यम प्रौद्योगिकी कंपनी है, जो राष्ट्रीय सुरक्षा, सैन्य और सरकारी ग्राहकों को सेवाएँ प्रदान करती है। इसका कार्य उन्नत आईटी और साइबर सेवाओं तक फैला है, जिसमें साइबर सुरक्षा, क्लाउड संचालन, इंजीनियरिंग, खुफिया जानकारी और डेटा-आधारित प्रौद्योगिकी समाधान शामिल हैं। Peraton जटिल परिचालन और सुरक्षा चुनौतियों का समाधान करने के लिए बड़ी, विशेषज्ञ टीमों को एक साथ लाता है और महत्वपूर्ण मिशनों के लिए प्रौद्योगिकी क्षमताओं के वितरण में सहायक भूमिकाएँ प्रदान करता है।
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कंपनी की नौकरियाँ

Senior Medicaid Auditor

Conduct cost report, claims, and risk-based audits for Peraton’s healthcare fraud and abuse programs. Analyze findings and support Medicaid audit projects.

USसंयुक्त राज्यFLफ़्लोरिडा
$66,000 – $1,06,000 / वर्ष
रिमोटपूर्णकालिकवरिष्ठलीडआवश्यक भाषा: अंग्रेज़ीलेखा परीक्षक

विवरण

  • Apply audit expertise to resolve routine business issues within moderately complex assignments.
  • Analyze issues and provide informed input on project direction as a team member.
  • Use independent judgment within established procedures and interpret applicable policies.
  • Assess unusual circumstances and recommend appropriate action.
  • Audit cost reports and claims submissions.
  • Conduct focused audits as needed.
  • Assess inherent and residual risks and perform risk-based audits.
  • Review audited functions and identify findings and improvements using business knowledge, analysis, and experience.
  • Share regular progress reports and audit finding updates with team members.
  • Contribute to projects and audits.
  • Research and analyze data for moderately complex projects.
  • Keep current with developments in auditing.
  • Work through moderately complex problems.
  • Apply intermediate subject matter knowledge to solve common business issues.

आवश्यकताएँ

  • Have at least five years of experience with a bachelor’s degree, or nine years with a high school diploma.
  • Have typically two or more years of related experience in finance, accounting, or auditing.
  • Bring intermediate knowledge of internal audit policies and operating principles.
  • Bring intermediate understanding of Medicaid or healthcare auditing and revenue cycles.
  • Have intermediate risk assessment and scoping skills.
  • Demonstrate strong research and analytical skills.
  • Be proficient with Microsoft Office, including intermediate to advanced Excel skills.
  • Be a U.S. citizen.
  • A degree in finance, accounting, or a related field is preferred.
  • Have intermediate financial and business acumen.
  • Have basic project management skills.

लाभ

  • Work remotely from Florida.
  • May be eligible for overtime.
  • May be eligible for a shift differential.
  • May be eligible for a discretionary bonus.

संबंधित नौकरियाँ

BlueCross BlueShield of South Carolina

Auditor II, Medicare Cost Reporting

BlueCross BlueShield of South Carolina
कानूनीपरामर्शस्वास्थ्य सेवा
USसंयुक्त राज्यALअलबामाAKअलास्काAZएरिज़ोनाCAकैलिफ़ोर्नियाCOकोलोराडोCTकनेक्टिकटFLफ़्लोरिडाHIहवाईIDआइडाहोILइलिनॉयIAआयोवाKSकंसासKYकेंटकीLAलुइज़ियानाMEमेनMDमैरीलैंडMAमैसाचुसेट्सMIमिशिगनMNमिनेसोटाMSमिसिसिपीMOमिसौरीMTमोंटानाNEनेब्रास्काNVनेवादाNHन्यू हैम्पशायरNJन्यू जर्सीNMन्यू मैक्सिकोNYन्यूयॉर्कNCउत्तरी कैरोलिनाNDउत्तरी डकोटाOHओहायोOKओक्लाहोमाORओरेगनPAपेंसिल्वेनियाRIरोड आइलैंडSCदक्षिण कैरोलाइनाSDदक्षिण डकोटाTNटेनेसीTXटेक्सासUTयूटाVTवर्मोंटVAवर्जीनियाWAवॉशिंगटनWIविस्कॉन्सिनWYवायोमिंग
$49,447 – $94,737 / वर्ष
रिमोटपूर्णकालिकमध्य स्तरवरिष्ठआवश्यक भाषा: अंग्रेज़ीलेखा परीक्षक

Conducts financial, compliance, and operational audits for BlueCross Blue Shield of South Carolina, with a focus on Medicare cost reports. Evaluates controls and business risks, recommends corrective actions, and supports remote audits across the United States.

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Cotiviti

Senior Appeals Auditor – Cotiviti (Remote, US)

Cotiviti
5,001 – 10,000 कर्मचारी
H1B वीज़ा प्रायोजकपरामर्शलॉजिस्टिक्सस्वास्थ्य सेवा
USसंयुक्त राज्य
$47 – $57 / घंटा
रिमोटपूर्णकालिकवरिष्ठआवश्यक भाषा: अंग्रेज़ीलेखा परीक्षक

Defend Cotiviti’s recovery decisions by reviewing Medicare claims, clinical records, coding, medical necessity, and provider appeals. Prepare evidence-based appeal responses and support cases progressing to Administrative Law Judge hearings.

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Brown & Brown Insurance

Remote Aggregate Claims Auditor

Brown & Brown Insurance
बीमावित्त
USसंयुक्त राज्य
$85,000 – $90,000 / वर्ष
रिमोटपूर्णकालिकमध्य स्तरवरिष्ठआवश्यक भाषा: अंग्रेज़ीलेखा परीक्षक

Review aggregate stop-loss claims, contract eligibility, funding, and attachment points for Brown & Brown customers. Prepare audit reports and address third-party administrator appeals in this remote role.

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Affordable Dentures & Implants

Remote Charge Auditor, Payor Relations

Affordable Dentures & Implants
B2Cस्वास्थ्य सेवा
USसंयुक्त राज्यFLफ़्लोरिडाILइलिनॉयNCउत्तरी कैरोलिनाTXटेक्सासरिमोटपूर्णकालिकमध्य स्तरवरिष्ठआवश्यक भाषा: अंग्रेज़ीलेखा परीक्षक

Audit healthcare fee schedules, contracted rates, and reimbursement accuracy for U.S. payors. Work with Revenue Cycle Management to identify underpayments and recover missed reimbursements.

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e4health

Lead Outpatient Facility and Professional Fee Coding Auditor

e4health
501 – 1,000 कर्मचारी
कानूनीपरामर्शलॉजिस्टिक्स
USसंयुक्त राज्यरिमोटपूर्णकालिकवरिष्ठआवश्यक भाषा: अंग्रेज़ीलेखा परीक्षक

Lead facility outpatient and professional fee coding audits for e4health, a healthcare workflow solutions provider. Review charts, monitor coding quality, and train coding consultants.

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