VA Auditing Specialist
St Joseph'S/Candler
- Position Summary
- A VA Auth/Referral and Auditing Specialist is responsible for verifying patient insurance coverage, obtaining necessary prior authorizations for medical services from insurance companies, by reviewing medical records and determining if requested procedures are covered based on policy guidelines, ultimately ensuring timely access to care for patients while managing the financial aspects of their treatment. While auditing for accuracy and validity of all authorizations or referrals for VA and Tricare. The VA Auth/Referral and Auditing Specialist will be overlooking authorizations and referral within departments such as: LCRP, Patient Accounts, Pre-Service and Registration.
- Education
- High School Diploma - Preferred
- Experience
- 1-3 Years Insurance experience - Required
- 2-3 Years Medical background - Preferred
- License & Certification
- None Required
- Core Job Functions
- Demonstrates responsibility in maintaining patient records in organized and secure manner. Ensures HIPAA regulations are continuously followed.
- Determines precertification necessity. Communicates and coordinates with insurance companies to maximize reimbursement. Communicates with other departments to eliminate denials from insurance companies.
- Monitor various reports for precertification need. Perform initial review prior to date of service and concurrent review until precertification obtained. Communicate and collaborate with other departments to eliminate precertification denials.
- Documents within EMR and hospital charting system data on precertification and payer correspondence. Ensures appropriate referral information is taken by the front desk staff to limit denial of services
- Accurately measures and records the type, frequency, and responsibility for missing or inaccurate authorizations, navigation or any other insurance benefit related issue that causes delays in the patient treatment schedule.
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the VA Auditing Specialist in Savannah, GA vacancy
- ...CITITRENDS is seeking a Sales Audit Specialist who will be responsible for the accurate and timely reconciliation of daily sales activity across store locations, including alignment to cash, credit card receivables, and bank deposits. This role serves as a key control...SuggestedWork at officeLocal area
Citi Trends
Savannah, GA3 days ago - Tax Manager Position Are you someone who wants to be part of something bigger? Want to work with a dynamic team of people where you can be YOU and not just a number? If so, this Tax Manager position may be your #FitForLife! William Vaughan Company, a locally recognized...SuggestedWork at office
William Vaughan Company
Savannah, GA3 days ago - ...depreciation calculations, tax disposal workpapers, and Forms 4562/4797. Assist in responding to Federal, State, and International audit requests (as needed.) Review and respond to state tax notices (as needed.) Prepare tax account reconciliations. Support...SuggestedFull timeTemporary workRelocation packageMonday to FridayFlexible hours
MacroSource LLC
Savannah, GA5 hours ago $100k - $126k
Job Opportunity Location: Savannah, GA & Atlanta, GA Schedule: Hybrid remote/onsite 2-3 days per week Compensation: $100k-$126k Salary DOE Qualifications: ~ Undergraduate degree required, Master's preferred ~ CPA required ~4+ years of tax experience...SuggestedRemote work2 days per week3 days per weekGHI Staffing Solutions
Savannah, GA5 hours ago- ...The Compliance Auditor will support the compliance functions at SJ/C. The auditor is expected to conduct independent compliance audits and monitor revenue cycle and related processes as identified in the annual compliance plan. Completes audits to ensure revenue cycle...SuggestedWork experience placement
St Joseph'S/Candler
Savannah, GA3 days ago - Parking Management Company (PMC) is a national leader in hospitality-focused parking services. Headquartered in Nashville, Tennessee, PMC provides valet and self-parking management, shuttle services, event parking, and porter/bell services across multiple industries including...Hourly payMinimum wageFull timePart timeLocal areaShift workNight shift
Parking Management Services
Savannah, GA3 hours ago - Come Join Our Team - Where Every Transaction Tells a Story! About BankSouth: At BankSouth, we're not just in the business of banking; we're in the business of building relationships and empowering our customers to achieve their financial goals. As a trusted community...Temporary workMonday to FridayFlexible hours
BankSouth
Savannah, GA3 days ago - [[extTitle]] in [[location]] Unique Skills: [[cusuniqSkills]] Education and Experience Requirements Bachelor's Degree in Acctg or Finance required or equivalent combination of education and experience. 2 years of related experience. Master's Degree in Acct or Financeor...Work at officeImmediate startShift work
Gulfstream
Savannah, GA4 days ago - Staff Accountant Senior Financial Reporting in GAC Savannah Unique Skills: Advanced Excel proficiency, including complex formulas, pivot tables and power query. Strong presentation skills. Advanced analytical skills with the ability to interpret and communicate...Full timeWork at officeShift work
Gulfstream
Savannah, GA3 days ago - ...CITITRENDS is seeking an Accounting Specialist to support the day-to-day accounting operations of our growing retail organization. This... ...with GAAP and company policies Support internal and external audit requests by preparing documentation and schedules Assist with...Work at officeLocal area
Citi Trends
Savannah, GA2 days ago - Overview Why Highmark Residential? Because every position is considered critical to Highmark's success and reputation, we take care to employ those who aspire to become the best in their field. Those who succeed at Highmark will do so because they enjoy an empowered...Full timeTemporary workFlexible hours
Highmark Residential
Savannah, GA2 days ago $78k
Property Manager Pay range: $78,000/yr How do you define success? Our associates epitomize the word! The fast-paced company culture mixes challenge and excitement to create an environment of professionalism and engagement seldom seen or experienced! So, what's in...Pegasus Residential
Port Wentworth, GA2 days ago- ...organization of common areas and offices. Monitors work order reports to ensure all work orders are addressed in a timely manner; audits a sampling of maintenance work at each property to ensure quality work and good craftsmanship; ensures staff follow-ups on any...For contractorsWork at officeLocal area
Housing Authority of Savannah
Savannah, GA2 days ago - Overview The Property Manager ("PM") will have broad and in-depth general management responsibilities at their assigned apartment development(s). The PM will supervise a site team consisting of administrative, supportive services and maintenance personnel at levels...Flexible hours
Pennrose Management
Savannah, GA2 days ago - Civil Estimator A fast-growing civil construction firm is seeking an experienced Civil Estimator to support its expanding site and utility development division. This newly created position is part of a broader strategy to meet increasing demand across the Southeast....For subcontractorWork at office
Hire Integrated
Savannah, GA22 hours ago - Join SUSONITY, a global leader in pearlescent pigments, and other specialized materials. We are seeking a highly motivated individual to join our growing Finance team in Savannah, GA. In this role you will be instrumental in mastering the foundational accounting principles...Work at officeMonday to Friday
Susonity LLC
Port Wentworth, GA3 hours ago - Job Title: Estimator - Division 10 Specialties Location: Charleston, SC or Columbia, SC or Charlotte, NC or Savannah, GA Position Summary A growing commercial construction firm is seeking a skilled Estimator specializing in Division 10 (Specialties) to support...For contractorsFor subcontractorWork at office
Solid Rock Recruiting LLC
Savannah, GA2 days ago - Federal Construction Professionals - QCM, Superintendent, SSHO, PM, Estimator, Scheduler Apply Below! Elite Recruiting and Consulting Services, SDVOSB, is building an ongoing pipeline of experienced Federal construction professionals for upcoming NAVFAC, USACE...
Elite Recruiting & Consulting Services
Savannah, GA1 day ago - Junior Estimator - Commercial Drywall Location: Savannah, GA or Charleston, SC About the Opportunity We're working with an established commercial drywall contractor looking to add a Junior Estimator to their growing preconstruction team. This is an excellent...For contractorsFor subcontractorInternshipWork at office
Solid Rock Recruiting LLC
Savannah, GA22 hours ago - Job Title: Estimator - Exterior Cladding & Building Envelope Location: Charleston, SC or Charlotte, NC or Savannah, GA Position Summary A reputable commercial construction contractor is seeking an experienced Estimator specializing in exterior cladding...For contractorsFor subcontractorWork at office
Solid Rock Recruiting LLC
Savannah, GA2 days ago - Sales/Estimator Opportunity Precision Walls has an exciting opportunity for a Sales/Estimator to join our team! Are you looking for a work environment you can be challenged and thrive in, all while working with amazing team members we consider family? Precision Walls...Contract workTemporary workFor contractorsLocal areaFlexible hours
Precision Walls
Savannah, GA22 hours ago - Estimator AMAT Savannah, Georgia, United States Job ID: 518172 APAC-Atlantic, part of CRH's South Division, is a leader in the production of high-quality hot mix and warm mix asphalt, serving the Coastal Georgia and Low Country South Carolina...
CRH
Savannah, GA22 hours ago - ...financial goals year-round. What you'll bring to the team... ~ Build year-round client relationships ~ Provide tax preparation, tax audit support and tax planning year-round ~ Create confidence in our clients by conducing tax interviews face to face and through...
H&R Block
Savannah, GA4 days ago - Who They Are We are working with one of the top 10 wall and ceiling specialty contractors in the US to find an Estimator for their growing team! This is an employee-owned company with a generous compensation package. This individual will read blueprints and perform...For contractorsWork at office
The Bridger Group
Savannah, GA1 day ago $90k - $120k
Estimator Construction and Building Estimator – Heavy Civil/Site Work/Utilities/Agtek Location: Columbia, SC Pay: $90,000 – $120,000 + Annual Bonus Schedule: Full-Time, Monday–Friday Our client provides comprehensive civil construction services across the Southeast...Full timeMonday to FridayExecuSource
Savannah, GA1 day ago- Job Title: Junior Estimator - Commercial Drywall Location: Savannah, GA OR Charleston, SC Position Summary An established commercial construction firm is seeking a detail-oriented Junior Estimator to support the preconstruction team in preparing accurate cost...For subcontractorInternshipWork at office
Solid Rock Recruiting LLC
Savannah, GA2 days ago - A large, well-established drywall contractor in the Charleston, SC market is seeking a skilled Drywall Estimator to join a fast-paced, collaborative estimating team. This organization handles a heavy mix of ground-up multifamily, conversions, hotels, condos, and commercial...For contractorsWork at officeImmediate startRelocation package
Solid Rock Recruiting LLC
Savannah, GA4 days ago - Job Title: Senior Estimator - Commercial Drywall Location: Charleston, SC OR Savannah GA Position Summary A leading commercial construction contractor is seeking an experienced Senior Estimator to lead the preparation of detailed and competitive cost ...For contractorsFor subcontractorWork at office
Solid Rock Recruiting LLC
Savannah, GA22 hours ago - Senior Estimator - Commercial Drywall Location: Charleston, SC or Savannah, GA About the Opportunity We're partnered with a leading commercial drywall contractor known for delivering high-quality work across complex, large-scale projects. Due to continued growth...For contractorsFor subcontractorWork at office
Solid Rock Recruiting LLC
Savannah, GA22 hours ago - Estimator - Division 10 Specialties Locations: Charleston, SC | Columbia, SC | Charlotte, NC | Savannah, GA About the Opportunity We're partnered with a growing commercial contractor that specializes in interior and specialty construction scopes. As their pipeline...For contractorsFor subcontractorWork at office
Solid Rock Recruiting LLC
Savannah, GA22 hours ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to VA Auditing Specialist. Be the first to apply!
