What are the responsibilities and job description for the Internal Auditor - PEIA - Kanawha Co. position at West Virginia?
level position that performs duties in the area of medical claims review and auditing. Responsible for preparing highly complex expense, revenue and reconciliation reports, planning, assigning and reviewing agency audits and handling more sensitive accounting/auditing matters. This position is for fraud, waste and abuse for the Public Employees Insurance Agency. Candidates must demonstrate knowledge of healthcare claims administration processes and be proficient in the calculation of complex medical and prescription drug claim reimbursement systems such as DRG, APC, RBRVS, discount off MAC, discount off AWP, and per diem.
Responsibilities may include supervising Accounting Technician 4 and other support staff in the preparation of financial reports and other comparable reports and training lower-level accountants/auditors. This position involves complex medical claims, and other compliance audits related to investigation and/or prosecution of insurance fraud (forensic accounting).
Kanawha County
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IMPORTANT: Your eligible score will be based on information provided in your application; therefore, make sure your application is detailed and complete. You MUST complete ALL parts of the application, including the Work Experience section.
ATTENTION: Applicant must verify post high school education by submitting an official transcript or diploma, training or licensure earned pertaining to this position by the closing date of the posting, if not previously verified. If you are claiming Veterans preference, please submit "MEMBER 4" form and/or your VA Letter. Protecting your personal information is our highest priority. If your official transcript, training/licensure, or Veterans documentation contains your Social Security Number and/or birthdate, please redact that information before submitting it to the Division of Personnel.
Please attach documents to the online application before submitting it. Or, you may email it to: applicantservices@wv.gov or by mail to: WV Division of Personnel, 1900 Kanawha Blvd. E., Building 3, Suite 500, Charleston, WV 25305.
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Training: Graduation from an accredited college or university including eighteen (18) semester hours in Accounting.
Experience: Five (5) years of professional auditing or accounting experience, including two (2) years in internal auditing.
***DETAILS OF RELATED EXPERIENCE MUST BE SHOWN IN THE WORK EXPERIENCE SECTION OF YOUR ONLINE APPLICATION***
Salary : $42,898 - $79,358
