Insurance auditor vs associate auditor

Differences between insurance auditor and associate auditor duties and responsibilities

Insurance auditor example responsibilities.

• Manage the collection, analysis and verification of managerial payroll information to detect fraud and/or unethical practices.
• Prepare the audit report as prescribed by the insurance company within the time allow and within NCCI and ISO rules.
• Modify claim files upon customer request using proprietary software under strict HIPAA guidelines.
• Provide contract audit services to monitor the field sales force compliance with internal policies on promotional spending on healthcare providers.
• Audit paperwork to ensure products are produced within company and FDA specification.
• Develop and implement the recovery audit program for post-payment audit of dental Medicaid programs.
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Associate auditor example responsibilities.

• Manage accounts payable/receivable/inventory, payroll, selling and administrative expense, owner s equity and cash accounts.
• Manage accounting operations, accounting close, account reporting and reconciliations for internal corporate and bank transactions.
• Review simple visit coding of HCPCS, ICD, and CPT codes to ensure coding compliance.
• Provide education to linear departments base on payer bulletins and CMS guidelines via updates receive from Novitas.
• Prepare the charge master to reflect all charges for all departments by applying the appropriate HCPCS and CPT codes.
• Travel to various locations outside of normal business commute for audits, site visits, quarterly reviews, and SOX testing.
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