Top 36 Senior auditor Jobs in Nashville Tn

Claims Auditor- Remote
American Health Plans —Franklin, TN
- Remote
- Mid-level
- 2 years
- Paid holidays
- Disability insurance
Quick Apply
Senior Internal Auditor - Hybrid
The Cigna Group —Nashville, TN
- Online Application
- Microsoft Excel
- CPA
- Mid-level
Senior Internal Auditor
FirstBank —Nashville, TN
- Full-time
- CPA
- Office
- Finance
Quick Apply
Information Technology (IT) Senior Internal Auditor - Hybrid
The Cigna Group —Franklin, TN
- Online Application
- Hybrid work
- Research
- Office
- 3 years
Senior Financial Internal Auditor - Hybrid
The Cigna Group —Franklin, TN
- Online Application
- Microsoft Excel
- CPA
- 3 years
IT Audit Senior Consultant
LBMC, PC —Brentwood, TN
- Full-time
- CPA
- Mid-level
- Office
Quick Apply
Senior Audit Manager, Real Estate
Aprio —Nashville, TN
- $125,000 - $220,000 a year
- Full-time
- Hybrid work
- 7 years
- CPA
- Master's degree
- Profit sharing
- Wellness program
Senior Audit Associate
Aprio —Nashville, TN
- $70,000 - $124,000 a year
- Full-time
- Hybrid work
- CPA
- Mid-level
- 3 years
- Profit sharing
- Wellness program
Sr Internal Auditor
Delek US —Brentwood, TN
- Office
- Bachelor's degree
- Continuous improvement
- Health insurance
- 401(k) matching
Senior Auditor - Nashville, TN/Hybrid
Software Technology Inc —Nashville, TN
- Hybrid work
- 6 years
- CPA
- Finance
Quick Apply
Senior Audit Associate
Doeren Mayhew CPAs and Advisors —Gallatin, TN
- Mid-level
- Analysis skills
- Travel
Quick Apply
Assurance Senior Manager
BDO —Nashville, TN
- $120,000 - $205,000 a year
- Full-time
- 7 years
- CPA
- Finance
- On-the-job training
- Employee stock ownership plan
Senior Accountant
Billtrust US Careers —Nashville, TN
- $80,000 - $115,000 a year
- Remote
- Microsoft Excel
- CPA
- Office
- Health insurance
- Paid time off
Quick Apply
Senior Accountant - Healthcare Audit
LBMC, PC —Brentwood, TN
- Full-time
- Management
- Mid-level
- Office
- Paid time off
- Parental leave
Quick Apply
Audit Senior :: Nashville, TN :: Hybrid
Software Technology Inc —Nashville, TN
- 6 years
- CPA
- Finance
Quick Apply
AUDIT - SENIOR
Crosslin, PLLC —Nashville, TN
- Microsoft Excel
- CPA
- Windows
Quick Apply
Financial Institution Senior Consultant (SOX and FDICIA focus)
Baker Tilly Advisory Group, LP —Nashville, TN
- $81,000 - $155,240 a year
- Full-time
- CPA
- 3 years
- Finance
Quick Apply
Senior Accountant
OUTDOOR LIVING SUPPLY LLC —Franklin, TN
- Full-time
- Hybrid work
- Ability to walk for extended periods
- Mid-level
- Office
Senior Audit Associate - Nashville, TN
Rodefer Moss & Co PLLC —Nashville, TN
- CPA
- Research
- Mid-level
Senior Accountant
CLEARWATER SECURITY & COMPLIANCE LLC —Nashville, TN
- 5 years
- Writing skills
- Office

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senior auditor jobs near nashville tn

Claims Auditor- Remote

American Health Plans -
Franklin, TN

Quick Apply

Job Details

Benefits

Paid holidays
Disability insurance
Health insurance
Dental insurance
401(k)
Paid time off
Employee assistance program
Vision insurance
Referral program

Qualifications

Medicare
Managed care
Managed care organization experience
CMS
Regulatory compliance in claims processing
Medical claims processing software
CMS regulatory compliance
Health insurance knowledge
Medicare regulations
Centers for Medicare & Medicaid Services (CMS) billing regulations
Medicaid
Quality audits
Insurance (Financial sectors)
Healthcare claims compliance audits
Audit support
Healthcare coding compliance audits

Full Job Description

American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc. owns and operates Institutional Special Needs Plans (I-SNPs) for seniors who reside in long-term care facilities. In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by improving patient care to reduce emergency room visits and avoidable hospitalizations. This division currently operates in Tennessee, Georgia, Missouri, Kansas, Oklahoma, Utah, Texas, Mississippi, Louisiana, Iowa, and Idaho with planned expansion into other states in 2024. For more information, visit AmHealthPlans.com (https://amhealthplans.com/).

If you would like to be part of a collaborative, supportive and caring team, we look forward to receiving your application!

Benefits and Perks include:

Affordable Medical/Dental/Vision insurance options
Generous paid time-off program and paid holidays for full time staff
TeleMedicine 24/7/365 access to doctors
Optional short- and long-term disability plans
Employee Assistance Plan (EAP)
401K retirement accounts
Employee Referral Bonus Program

ESSENTIAL JOB DUTIES:

To perform this job, an individual must accomplish each essential function satisfactorily, with or without a reasonable accommodation.

Conduct pre-pay and post-pay audits to ensure accurate claims payments and denials
Ensure regulatory compliance and overall quality and efficiency by utilizing strong working knowledge of claims processing standards
Work closely with delegated claim processor to ensure errors are reviewed and corrected prior to final payment
Work assigned claim projects to completion
Provide a high level of customer service to internal and external customers; achieve quality and productivity goals
Escalate appropriate claims/audit issues to management as required; follow departmental/organizational policies and procedures
Maintain production and quality standards as established by management
Participate in and support ad-hoc audits as needed
Other duties as assigned

JOB REQUIREMENTS:

Proficient in processing/auditing claims for Medicare and Medicaid plans
Strong knowledge of CMS requirements regarding claims processing, especially regarding skilled nursing facilities and other complex claim processing rules and regulations
Current experience with both Institutional and Professional claim payments
Knowledge of automated claims processing systems
Hybrid role that may require 2-3 days per week onsite at the Franklin, TN office.

REQUIRED QUALIFICATIONS:

Experience:
- Two (2) years’ experience with complex claims processing and/or auditing experience in the health insurance industry or medical health care delivery system
- Two (2) years’ experience in managed healthcare environment related to claims processing/audit
- Two (2) years’ experience with standard coding and reference materials used in a claim setting, such as CPT4, ICD10 and HCPCS
- Two (2) years’ experience with CMS requirements regarding claims processing; especially Skilled Nursing Facility and other complex claim processing rules and regulations
- Two (2) years’ experience processing/auditing claims for Medicare and Medicaid plans
License/Certification(s):
- Coding certification preferred

EQUAL OPPORTUNITY EMPLOYER

Our Organization does not discriminate based on race, color, religion, sex, handicap, disability, age, marital status, sexual orientation, national origin, veteran status, or any other characteristic(s) protected by federal, state, and local laws. The Organization will also make reasonable accommodations for qualified individuals with disabilities should a request for an accommodation be made.

This employer participates in E-Verify.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

Quick Apply

Refine Your Search

senior auditor jobs in nashville tn

Claims Auditor- Remote

Senior Internal Auditor - Hybrid

Senior Internal Auditor

Information Technology (IT) Senior Internal Auditor - Hybrid

Senior Financial Internal Auditor - Hybrid

IT Audit Senior Consultant

Senior Audit Manager, Real Estate

Senior Audit Associate

Sr Internal Auditor

Senior Auditor - Nashville, TN/Hybrid

Senior Audit Associate

Assurance Senior Manager

Senior Accountant

Senior Accountant - Healthcare Audit

Audit Senior :: Nashville, TN :: Hybrid

AUDIT - SENIOR

Financial Institution Senior Consultant (SOX and FDICIA focus)

Senior Accountant

Senior Audit Associate - Nashville, TN

Senior Accountant

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