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Department Of Healthcare Services Medical Review Branch - Health Program Auditor Iii And Iv Resume Example

Addison Kelly
XXX XXXXXX XX XXX
South Pasadena, CA 91030
Ph: XXXXX XXXXXXXX
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Professional Summary
Accomplished and experienced Health Program Auditor IV with solid history of achievement in auditing. Motivated leader with strong organizational and prioritization abilities.
Skills
  • Extensive auditing experience
  • Proven lead auditor
  • Ability to work with Microsoft Office programs
  • Skilled trainer
  • Organized
  • Self-directed
  • Independent
  • Make deadlines
Experience
Health Program Auditor III and IV Feb 2000 －Present Department of Healthcare Services - Medical Review Branch Commerce, CA
  • Audits managed care health plans, pharmacies, durable equipment suppliers, non-emergency medical transportation, adulth day health care facilities, hospices, and physicians.
  • Responsible for gathering documentation and evidence in formulation conclusions and recommendations.
  • Initiate inventory and billing related reviews, prepare workpapers, calculate overpayment, and formulate recomendations including recoveries.
  • Prepare appeal position statements for appeal hearings.
  • Perform internal quality control reviews.
  • Develop trainings including on the job training for new staff.
  • Perform administrative duties including updating and maintaining employee time reports, staff assignment reports, and cases analysis. 


 
Health Program Auditor III Jul 1992 －Feb 2000 Department of Healthcare Services - Financial Audit Branch Burbank, CA
  • Responsible for auditing cost reports and preparing detailed audit reports for different types of facilities; acute hospitals, skilled nursing facilities, rural health clinics, federally qualified health care clinics, and managed care health plans.
  • Conducts audits and prepare reports for California Medical Assistance Commission (CMAC) and Office of Statewide Health Planning and Development (OSHPD).
  • Develop training manuals and lecture materials for new staff.
  • Provide training for newly hired staff for statewide Financial Audit Branch offices.
Education
Bachelor of Science: Accounting Los Angeles, CA California State University Los Angeles Dec 1990
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Health Program Auditor

Resume Details

This is a real resume for a Health Program Auditor III and IV in South Pasadena, California with experience working for such companies as Department Of Healthcare Services Medical Review Branch, Department Of Healthcare Services Financial Audit Branch. This is one of the hundreds of Health Program Auditor III and IV resumes available on our site for free. Use these resumes as templates to get help creating the best Health Program Auditor III and IV resume.

Previous Companies:

  • Department of Healthcare Services Medical Review Branch
  • Department of Healthcare Services Financial Audit Branch

Previous Job Positions:

  • Health Program Auditor III and IV
  • Health Program Auditor III

Schools:

  • California State University Los Angeles

Level of Education:

  • Bachelor of Science

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