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Job Description: S top-loss Job Tasks This position is responsible for thorough evaluation of all submitted claims to ensure appropriate reimbursement of Stop Loss claims. Responsibilities: -Analyzing claims to ensure all necessary documentation has been received and criteria are met for reimbursement, including evaluation of appropriate billing, member eligibility, contracts and plan specifications. -Coordinating with various departments to ensure that all cost containment initiatives are executed, and appropriate case management is engaged. -Initiating claim reimbursement to self-funded... more ->
Responsibilities Performing audit or review procedures, or assisting in other projects, as assigned Understanding the client's business and industry and accounting and control systems Assessing risks and evaluating the client's internal control structure Performing and documenting analytical procedures, substantive tests, and tests of controls to identify and resolve accounting or reporting issues Reviewing or drafting of financial statements and other client deliverables Directing, training, supervising and reviewing the work performed by staff and experienced staff auditors Building and... more ->
Duties WHAT IS THE SMALL BUSINESS SELF EMPLOYED DIVISION? A description of the business units can be found at: https://www.jobs.irs.gov/about/who/business-divisions Vacancies will be filled in the following specialty areas SB/SE Deputy Commissioner Exam, Field Examination The following are the duties of this position at the full working level. If this vacancy includes more than one grade and you are selected at a lower grade level, you will have the opportunity to learn to perform these duties and receive training to help you grow in this position. Serves as the principal advisor and... more ->
Medical Coder - Risk Adjustment (Risk Adjustment Auditor II) Work from home within Oregon, Washington, Idaho or Utah Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system. Who We Are Looking For Every day, Cambia's dedicated team of Medical Coders - Risk Adjustment (Risk Adjustment Auditor II) is living our mission to make health care easier and lives better. As a member of the Risk Adjustment team, our Risk Adjustment Medical Coders performs Retrospective/Prospective chart review both on and off-site utilizing various types of... more ->
Anywhere Real Estate is seeking a Senior Auditor to join their Internal Audit Department! In this role, you will: Execute assigned functions during all phases of an agile integrated audit, including planning, fieldwork, reporting, and wrap-up; implement audit work in conformance with department's standards, budgets, and deadlines. Engage effectively with internal collaborators, across all levels, to build rapport and consensus regarding assessments and action plans. Demonstrate an understanding of key organizational risk areas including financial, operational, and technology. Lead and support... more ->
Packaging Associate ROLE: The Packaging Associate is responsible for the final review of finished product and packaging materials and for packaging product for delivery to our end user, the customer. ESSENTIAL DUTIES AND RESPONSIBILITIES: Visually inspect finished products and packaging materials to ensure they meet quality expectations Communicate concerns to Quality Auditor, Operator, Lead Operator and/or Supervisor Discard product that does not meet expectations in accordance with site procedures Be cognizant of surroundings and report any environmental, equipment or material issues that... more ->
*Hybrid, 3 days onsite, 2 days remote* A prestigious company is looking for a Senior Associate, Enterprise Risk Management. This Senior Associate will need to have 3 years of experience working as an analyst/auditor of ERM and financial risk. This role will support a team that identifies, measures, monitors, manages, and reports risks and exposures across the organization through the Risk Management Framework (RMF). Responsibilities: Support the team tasked with assessing, implementing, monitoring, and reporting on the adequacy and effectiveness of the company's Risk Management Framework... more ->
What you'll bring to the team . Conduct tax interviews with clients Increase retention of all clients Offer additional products and services Generate business growth by supporting business to business sales activities Provide IRS audit support & attend audits as needed Further develop tax expertise Mentor and support teammates Your Expertise High School Diploma or equivalent Experience completing individual returns Tax planning and audit support Ability to effectively communicate in person and in writing Successful completion of the H&R Block Tax Knowledge Assessment or Income Tax Course... more ->
Salary Range: $125,000-$150,000 The Accounting Manager is a member of the accounting team whose primary responsibility is accounting for consolidation and monthly/year-end closings. The successful candidate should have experience in public accounting and be proficient at consolidation and corporate accounting. Exposure to real accounting is a plus. This position reports to the Corporate VP Finance. This is a Full time position and located in San Francisco, CA. WHAT YOU'LL DO: Perform monthly consolidation Financial statement presentation Review monthly closings Maintain the Loan schedule... more ->
What you'll bring to the team... Conduct tax interviews with clients Increase retention of all clients Offer additional products and services Generate business growth by supporting business to business sales activities Provide IRS audit support & attend audits as needed Further develop tax expertise Mentor and support teammates Your Expertise High School Diploma or equivalent Experience completing individual returns Tax planning and audit support Ability to effectively communicate in person and in writing Successful completion of the H&R Block Tax Knowledge Assessment or Income Tax Course... more ->
Summary Senior Accountant provides accounting and financial planning and analysis support. The role requires and experienced Accounting professional to provide accounting and financial planning and analysis support. The physical location of the position can be at one of several plants which support our Elastomeric Materials Solutions business - Rogers, CT, Bear, DE, Carol Stream, IL. Essential Functions Provides support for cost rolls on new items and setting annual standard costs. Prepares daily/weekly sales and variance reports for management. Prepares reconciliations, commentary, and... more ->
Responsibilities Assist in resolving billing edits that are holding patient claims from billing, by reviewing medical records and other applicable documentation. Position will serve as liaison between Revenue Integrity and Ancillary Departments regarding revenue and compliance issues. Position will conduct billing audits, provide monthly audit results and review denial trends for documentation or charging issue opportunities. Ensures unbilled accounts addressed properly and timely. This position has the opportunity to work from home. You may be asked to complete training at a Norton... more ->
The Corporate Audit Services (CAS) team serves as the Internal Audit Department and assists Management in attaining Company goals by providing independent, objective, assurance and consulting activity designed to add value and improve the Organization's operations. CAS provides objective insight on the design and effectiveness of governance, risk management, and internal control processes. Our vision is to be recognized for unparalleled value creation and client service. As the Sr. Staff Auditor, you will participate in many areas including the planning, execution, and reporting phases of... more ->