Account Auditor Job Description

Job Functions, Duties, Responsibilities and Position Qualifications:

The A/R Auditor will effectively audit/review, monitor and execute action for a positive resolution for any A/R process, procedure or function not meeting or limiting maximum financial return. The A/R Auditor is responsible for analyzing various forms of payments, A/R processes and procedures for financial or application discrepancies. Other aspects of the job can include compiling and tracking data, assisting with special projects and preparing training materials.
Job Responsibilities:
Essential Functions:
Provides in-depth review of Explanation of Benefits for underpayments and/or inappropriate adjustments or credits.Processes insurance appeals for underpaid claims or claims not paid according to valid negotiated contractual agreement on file.Audits internal and external functions to guarantee maximum financial return.Works with the department manager and any assigned personnel to streamline processes and procedures.Assists the department manager in developing training programs for positions within the organization.Demonstrates efficiency by performing procedures rapidly and determining priority.Utilizes unstructured time constructively.Utilizes personal and professional skills to promote interdepartmental relationships.Communicates with the department manager and all others within SHUSA to ensure quality patient care.Respects and maintains the confidentiality of information relative to SHUSA, its clients and patients.Maintains a positive work environment.

Skills:
Ability to work with minimal direction Perform duties in a timely and accurate manner Maintain confidentiality of information Possess effective written, verbal and electronic communication skills Possess effective work habits and ability to build/maintain work relationships Must have knowledge of computer technology and terminology Ability to type and demonstrate10 key proficiency Ability to read and comprehend EnglishAbility to work under deadlines Excel experience to Determine, analyze and improve a company's strategic goals

Job Qualifications:
Required:
High School diploma or GEDExcel experience or certifications
Preferred
2 years' experience in accounts receivable/medical billing, medical terminology, reimbursement, follow up and CPT/ICD 10Experience with medical coding, private insurance, laboratory billing/operations Customer service experience Experience in multitasking environment
License Certification:
N/A
Physical Capabilities:
Light to moderate physical effort (lift/carry 5 to 50 lbs.)

Scheduled Weekly Hours:
40

Work Shift:

Company:
Sonic Healthcare USA, Inc

Sonic Healthcare USA is an equal opportunity employer that celebrates diversity and is committed to an inclusive workplace for all employees. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, age, national origin, disability, genetics, veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

We're excited you're considering joining a great place to work!
Texas Mutual is deeply committed to creating and maintaining an environment of mutual respect and is proud to be an equal opportunity employer. All qualified applicants are encouraged to apply and will receive consideration for employment without regard to age, race, color, national origin, religion, sex, gender identity, sexual orientation, genetic information, veteran status, or any other basis protected by local, state, or federal law.
About this Position
At Texas Mutual, we are proud to create a stronger, safer Texas. That means helping injured workers return to a productive life, empowering businesses to thrive, and giving back to our communities. The Premium Audit team plays a key role in these efforts by processing payments to Injured Workers, Policyholders, Agents, and other stakeholders.

As a Large Accounts Premium Auditor, you will assess, identify, and calculate the earned premium exposure for the most complex and largest accounts. This position requires in state travel to policyholder sites mainly in Midland/Odessa and the El Paso and San Angelo areas.

Responsibilities & Qualifications
In this role, you can expect to:
Support the company's large account initiative by:
Conducting final audits on assigned large accounts.Providing additional premium audit services, including pre-audit surveys, assisting in the establishment of effective policyholder recordkeeping, and being a resource for classification code use.Participating in large account committee or team meetings as required.Providing technical assistance, training, and mentoring regarding specific and/or general audit questions to other staff.

Apply premium audit principles on large accounts by:
Identifying and applying classification code(s) to determine appropriate premium exposure, including researching an account prior to audit, observing the workplace and asking pertinent questions.Performing analysis to identify the reasons behind any significant increase/decrease in premium/payroll exposure.Ensuring all premium exposure has been accounted for.Communicating all premium saving opportunities available to the policyholder through financial recordkeeping and classification of employees.Communicating all upcoming changes to the policy exposure based on the policyholder's current operations.Communicating final audit results to the policyholder.Preparing final premium audit reports by entering audit results and submitting final audit information using premium audit system.Reviewing, validating, and correcting claim classification codes.

Determine the actual earned premium on large accounts at final audit by:
Reviewing and examining the policyholder's financial records.Verifying the relationship between a policyholder and their subcontractors, per the requirements of the labor code, to determine any risk exposure.Applying appropriate classification codes when applicable in conformance with the basic regulatory manual as well as departmental policies and procedures.

Identify and notify premium fraud investigations of accounts that are suspected of fraudulent practices, including:
Participating in premium fraud investigations, estimating premium losses and providing depositions when requested.Providing expert testimony in any litigation.

It's required that you:
Have a Bachelor's degree in Accounting, Business Administration, Finance or related field or any equivalent combination of education, experience and training.Have at least four years of experience in premium audit or property/casualty underwriting, or any equivalent combination of education, experience and training.Travel in-state on a daily basis mainly to Midland/Odessa, El Paso, and San Angelo areas.
Flex-Hybrid Work Environment:

Texas Mutual's flex-hybrid schedule allows you to bring your best self to work by either working remotely or collaborating in the office based on business needs. All Texas Mutual employees are required to have Texas residency and travel to their designated office as needed.

Our Benefits:
Flex-hybrid work environment for most positions Annual performance bonus and merit-based pay increase Professional development and tuition reimbursement Automatic 4% employer contribution to retirement plan 401k plan with 100% employer match up to 6%Three weeks' time off for vacation Nine paid holidays and two personal days each year Generous sick, holiday and volunteer time off Day one health, Rx, vision and dental insurance Life and disability insurance Flexible spending account Pet coverage and pet Rx discounts Free on-site gym, fitness classes, and health and wellness resources Free identity theft protection Free 2nd medical opinion service Free student loan repayment and refinancing consultation Employee referral bonus

St. Michael’s Inc. has an opportunity for an experienced Accountant/Auditor in the Washington DC area in support of a large IC defense organization who possesses 3 or more years of experience performing Accounting/Financial Management functions within the DoD Intelligence Community (IC). The selected candidate shall assist in providing end-to-end federal procurement support services to the client, must possess an uncompromising work ethic, and be able to align with St. Michael’s core values of Excellence in Reputation, Candor, Commitment, Teamwork and Dependability.

Location: Joint Base Anacostia Bolling (JBAB), Washington D.C.

Active Clearance required: TS/SCI

Required:

• Minimum current three (3) years in auditing and cost accounting
• Minimum current three (3) years of experience in property, plant, and equipment (PPE) audit efforts
• Minimum current two (2) years’ experience in formulating, justifying, and controlling DoD budget in accordance with Executive Orders, public law, strategies plan, program objective, and battle rhythms
• Ability to analyze proposed prices or cost, and administrative expense

Desired:

• Minimum years (2) years of experience in change management is highly preferred

Duties Include:

• Working with Program Managers (PMs) and Internal Use Software (IUS) Business Managers on creating IUS Asset Packages
• Providing training to all key IUS personnel
• Creating IUS dashboard of Agency's IUS inventory by directorate
• Updating the IUS Process Cycle Memoranda (PCM) and Corrective Action Plans (CAPs)
• Ensuring IUS Key Controls are being implemented across the Agency
• Creating test scripts and testing the IUS Business Process based on design and effectiveness
• Overseeing Agency's financial accounts (1830 and 1832)
• Revising and updating all related IUS SOPs

Education:

Bachelor(s) Degree from an accredited college and university:

Degree concentration in Business Administration, Business Management, Finance, Budget, Accounting, and Auditing

St. Michael’s is complying with the Safer Workplace Guidance and is an Equal Opportunity Employer M/F/Disability/Vet

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