Claims Auditor-Internal Audit

At Presbyterian Healthcare Services, we are seeking a detail-oriented and experienced Claims Auditor-Internal Audit to join our team. This individual will be responsible for ensuring compliance with applicable laws and regulations, and will play a key role in the protection of the organization's assets.The ideal candidate will have a minimum of 3 years of experience in auditing, healthcare, and claims processing. A bachelor’s degree in Accounting or Finance is preferred. The successful candidate should also have strong organizational, interpersonal, verbal, and written communication skills.As part of our team, you will be expected to adopt our values and mission of providing compassionate and high-quality healthcare services to all individuals in our community. If you possess the necessary experience and have a passion for upholding organizational integrity, we would love to hear from you.

Responsibilities:

1. Audit healthcare and claims processing to ensure compliance with applicable laws and regulations.
2. Investigate any discrepancies or errors in claims processing.
3. Monitor and review internal controls to ensure financial accuracy.
4. Analyze data to identify opportunities for increasing efficiency and reducing costs.
5. Prepare reports on audit findings and present them to management.
6. Develop and implement policies and procedures to ensure compliance.
7. Collaborate with other departments and external stakeholders to ensure accuracy and compliance.
8. Provide guidance and advice on claims processing and auditing procedures.
9. Manage and resolve any issues or disputes related to claims processing.
10. Maintain up-to-date knowledge of changes in healthcare regulations and laws.

According to JobzMall, the average salary range for a Claims Auditor-Internal Audit in Albuquerque, NM, USA is between $40,000 and $73,000 per year. The salary range can vary depending on experience, education, and certifications.

Presbyterian Healthcare Services is a private not-for-profit health care system and health care provider in the State of New Mexico. It owns and operates 8 hospitals in 7 New Mexico communities. It also operates Presbyterian Health Plan.