Understanding and exposure to Medicare Recovery Audit Contractor. * Knowledgeable in locating and referencing CMS and/or Medicare Regulations. * General hospital A/R accounts knowledge is required.
Understanding and exposure to Medicare Recovery Audit Contractor. * Knowledgeable in locating and referencing CMS and/or Medicare Regulations. * General hospital A/R accounts knowledge is required.
Understanding and exposure to Medicare Recovery Audit Contractor. * Knowledgeable in locating and referencing CMS and/or Medicare Regulations. * General hospital A/R accounts knowledge is required.
Understanding and exposure to Medicare Recovery Audit Contractor. * Knowledgeable in locating and referencing CMS and/or Medicare Regulations. * General hospital A/R accounts knowledge is required.
... Recovery Audit Contractor (RAC) processes, and billable components pertinent to LLUH Client ... Confident and able to present complex information to front-line, mid-level, and executive staff.
... Recovery Audit Contractor (RAC) processes, and billable components pertinent to LLUH Client ... Confident and able to present complex information to front-line, mid-level, and executive staff.
Coordinator-Revenue Integrity
San Bernardino, CA · On-site
$74K - $91K/yr
... Recovery Audit Contractor (RAC) processes, and billable components pertinent to LLUH Client ... Confident and able to present complex information to front-line, mid-level, and executive staff.
Coordinator-Revenue Integrity
San Bernardino, CA · On-site
$74K - $91K/yr
... Recovery Audit Contractor (RAC) processes, and billable components pertinent to LLUH Client ... Confident and able to present complex information to front-line, mid-level, and executive staff.
Compliance Consultant
Saint Joseph, MO · On-site
Manages the process of investigation and response to issues identified by the Recovery Audit Contractor (RAC), Medicare Administrative Contractor MAC, Zone Program Integrity Contractor (Z-PIC) or ...
Compliance Consultant
Saint Joseph, MO · On-site
Manages the process of investigation and response to issues identified by the Recovery Audit Contractor (RAC), Medicare Administrative Contractor MAC, Zone Program Integrity Contractor (Z-PIC) or ...
Monitor and follow up Medicare and Medicaid accounts identified by recovery audit contractors (RAC). May be required to work overtime if needed. Education/Certification: N/A Experience: Three years ...
Monitor and follow up Medicare and Medicaid accounts identified by recovery audit contractors (RAC). May be required to work overtime if needed. Education/Certification: N/A Experience: Three years ...
Health Insurance Collections
Lake Charles, LA · On-site
$17 - $23/hr
Understanding and exposure to Medicare Recovery Audit Contractor Knowledgeable in locating and referencing CMS and/or Medicare Regulations General hospital A/R accounts knowledge is required. * PC ...
Quick apply
Health Insurance Collections
Lake Charles, LA · On-site
$17 - $23/hr
Understanding and exposure to Medicare Recovery Audit Contractor Knowledgeable in locating and referencing CMS and/or Medicare Regulations General hospital A/R accounts knowledge is required. * PC ...
Monitor and follow up Medicare and Medicaid accounts identified by recovery audit contractors (RAC). May be required to work overtime if needed. Education/Certification: N/A Experience: Three years ...
Monitor and follow up Medicare and Medicaid accounts identified by recovery audit contractors (RAC). May be required to work overtime if needed. Education/Certification: N/A Experience: Three years ...
$141K - $233K/yr
... Executives (EEO-SubCategory) General Summary: Reporting to the DART Board Audit Committee, the ... Audit contractor billing and allocations to ensure amounts are in accordance with contract terms ...
$141K - $233K/yr
... Executives (EEO-SubCategory) General Summary: Reporting to the DART Board Audit Committee, the ... Audit contractor billing and allocations to ensure amounts are in accordance with contract terms ...
Chief Audit Officer
Dallas, TX · On-site
$141K - $233K/yr
... Executives (EEO-SubCategory) General Summary: Reporting to the DART Board Audit Committee, the ... Audit contractor billing and allocations to ensure amounts are in accordance with contract terms ...
Chief Audit Officer
Dallas, TX · On-site
$141K - $233K/yr
... Executives (EEO-SubCategory) General Summary: Reporting to the DART Board Audit Committee, the ... Audit contractor billing and allocations to ensure amounts are in accordance with contract terms ...
Lead PRP's Accounts Payable (AP) Recovery Audit practice; overseeing client engagements, team ... executives. * Negotiate and secure recovery of funds on behalf of clients, ensuring full ...
Lead PRP's Accounts Payable (AP) Recovery Audit practice; overseeing client engagements, team ... executives. * Negotiate and secure recovery of funds on behalf of clients, ensuring full ...
Lead PRP's Accounts Payable (AP) Recovery Audit practice; overseeing client engagements, team ... executives. * Negotiate and secure recovery of funds on behalf of clients, ensuring full ...
Quick apply
Lead PRP's Accounts Payable (AP) Recovery Audit practice; overseeing client engagements, team ... executives. * Negotiate and secure recovery of funds on behalf of clients, ensuring full ...
Lead PRP's Accounts Payable (AP) Recovery Audit practice; overseeing client engagements, team ... executives. * Negotiate and secure recovery of funds on behalf of clients, ensuring full ...
Lead PRP's Accounts Payable (AP) Recovery Audit practice; overseeing client engagements, team ... executives. * Negotiate and secure recovery of funds on behalf of clients, ensuring full ...
HCS Customer Service Specialist II (SCA)
San Angelo, TX · On-site +1
$19/hr
Ability to learn CMS rules and regulations and understand the CMS Recovery Audit Contractor program. * Healthcare and insurance terminology knowledge preferred but not required. * Flexibility to ...
HCS Customer Service Specialist II (SCA)
San Angelo, TX · On-site +1
$19/hr
Ability to learn CMS rules and regulations and understand the CMS Recovery Audit Contractor program. * Healthcare and insurance terminology knowledge preferred but not required. * Flexibility to ...
Health Information Management (HIM) Manager
Gunnison, CO · On-site
$1.0K/wk
Manage all external audit activity including RAC (Recovery Audit Contractor), MAC (Medicare Administrative Contractor), OIG, and commercial payer audits. * Oversee and manage the relationship with ...
Health Information Management (HIM) Manager
Gunnison, CO · On-site
$1.0K/wk
Manage all external audit activity including RAC (Recovery Audit Contractor), MAC (Medicare Administrative Contractor), OIG, and commercial payer audits. * Oversee and manage the relationship with ...
HCS Customer Service Specialist II (SCA)
San Angelo, TX · On-site +1
$19/hr
Ability to learn CMS rules and regulations and understand the CMS Recovery Audit Contractor program. * Healthcare and insurance terminology knowledge preferred but not required. * Flexibility to ...
HCS Customer Service Specialist II (SCA)
San Angelo, TX · On-site +1
$19/hr
Ability to learn CMS rules and regulations and understand the CMS Recovery Audit Contractor program. * Healthcare and insurance terminology knowledge preferred but not required. * Flexibility to ...
HCS Customer Service Specialist II (SCA)
San Angelo, TX · On-site +1
$19/hr
Ability to learn CMS rules and regulations and understand the CMS Recovery Audit Contractor program. * Healthcare and insurance terminology knowledge preferred but not required. * Flexibility to ...
HCS Customer Service Specialist II (SCA)
San Angelo, TX · On-site +1
$19/hr
Ability to learn CMS rules and regulations and understand the CMS Recovery Audit Contractor program. * Healthcare and insurance terminology knowledge preferred but not required. * Flexibility to ...
Support audit contractor and EHS policies and standards. * Develop and implement Safety programs ... Financial Growth Ask for Jasleenjasleen@ajuliaexecutivesea rch.comAjulia Executive Search is a ...
Support audit contractor and EHS policies and standards. * Develop and implement Safety programs ... Financial Growth Ask for Jasleenjasleen@ajuliaexecutivesea rch.comAjulia Executive Search is a ...
Health Information Management (HIM) Manager
Gunnison, CO · On-site
$55K - $96K/yr
Manage all external audit activity including RAC (Recovery Audit Contractor), MAC (Medicare Administrative Contractor), OIG, and commercial payer audits. * Oversee and manage the relationship with ...
Health Information Management (HIM) Manager
Gunnison, CO · On-site
$55K - $96K/yr
Manage all external audit activity including RAC (Recovery Audit Contractor), MAC (Medicare Administrative Contractor), OIG, and commercial payer audits. * Oversee and manage the relationship with ...
Ensures complete responses to Additional Development Requests (ADRs), Comprehensive Error Rate Testing (CERT), Recovery Audit Contractor (RAC) etc., requests and participates in appeal processes.
Ensures complete responses to Additional Development Requests (ADRs), Comprehensive Error Rate Testing (CERT), Recovery Audit Contractor (RAC) etc., requests and participates in appeal processes.
Executive Recovery Audit Contractor information
See salary details
$26.5K - $40.8K
11% of jobs
$40.8K - $55.1K
12% of jobs
$56.8K is the 25th percentile. Wages below this are outliers.
$55.1K - $69.5K
22% of jobs
The median wage is $77.4K / yr.
$69.5K - $83.8K
10% of jobs
$83.8K - $98.1K
9% of jobs
$98.1K - $112.4K
11% of jobs
$114.6K is the 75th percentile. Wages above this are outliers.
$112.4K - $126.7K
11% of jobs
$126.7K - $141K
4% of jobs
$141K - $155.4K
11% of jobs
$155.4K - $169.7K
0% of jobs
$169.7K - $184K
1% of jobs
$26.5K
$93.6K
$184K
How much do executive recovery audit contractor jobs pay per year?
What is the difference between Executive Recovery Audit Contractor vs Recovery Auditor?
| Aspect | Executive Recovery Audit Contractor | Recovery Auditor |
|---|---|---|
| Credentials | Typically requires CPA, CPA, or related certifications | Often requires CPA or related certifications |
| Work Environment | Contract-based, consulting firms, government agencies | Contractor roles within healthcare or government sectors |
| Employer & Industry | Consulting firms, government agencies, healthcare organizations | Healthcare providers, government agencies, insurance companies |
The main difference is that Executive Recovery Audit Contractors often hold senior consulting roles with broader responsibilities, while Recovery Auditors focus on specific audit tasks within healthcare or government sectors. Both roles require similar certifications and work environments, but their scope and level of responsibility differ.
Full-time
This job post has expired 1 day ago. Applications are no longer accepted.
CHRISTUS Health rating
6.6
Based on 517 frontline employees who took The Breakroom Quiz
557th of 872 rated healthcare providers
Job description
Summary:
Provides medical collection services for TLRA collection units. Utilizes a strong background as a medical collection specialist to successfully resolve accounts placed with TLRA for collection.
This involves performing collection activities related to follow-up and account resolution and includes communication with patients, clients, reimbursement vendors, and other external entities while adhering to all client, state, and federal guidelines. Patient and client satisfaction is essential. Associates in the collection units are expected to knave knowledge of the overall collection work processes for both active AR and BD inventory.
Responsibilities:
- Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
- Provides effective collection services, ensuring the successful recovery of accounts in accordance with client and state guidelines as well as TLRA’s business objectives.
- Understands and adheres to all policies and procedures, as well as local, state, and federal regulations, relevant to their area of operation.
- Documents and updates patient account information in TLRA’s collection software system timely and accurate to include appropriate account status.
- Handles inbound patient and/or carrier calls promptly and professionally, providing assistance and resolution to account inquiries, issues, and request.
- Uses collection tools effectively to ensure quality recovery services and meet or exceed established goals and work standards.
- Performs research and analysis of account issues and strives to resolve problems timely and accurately.
- Ensure daily productivity standards are met.
- Promotes positive patient relations by communicating in a manner that demonstrates respect for the human dignity of patients and/or their families.
- Thorough understanding of Medicare/Medicaid guidelines and procedures for billing, collections, and appeals.
- Understanding and exposure to Medicare Recovery Audit Contractor.
- Knowledgeable in locating and referencing CMS and/or Medicare Regulations.
- General hospital A/R accounts knowledge is required.
- Solid knowledge and utilization of desktop applications including Word and Excel are essential.
- Performs other special projects as required when assigned.
Collections – Traditional Government Insurance
- Maintains active knowledge of all collection requirements by payors.
- Collects balance owing from third-party payers in accordance with State and Federal laws governing collections practices. Ensures that collection efforts are thorough with the overall objective being to collect outstanding balances in an ethical manner.
- Ensures established quality standards are met and proper documentation regarding patient accounting records.
- Contact other departments to obtain necessary information for appeals, pending information, and any other issues that impact and/or delay claim processing.
- Provides effective and timely collection services ensuring the successful recovery of accounts in accordance with client and state guidelines as well as TLRA’s business objectives.
- Validates claim payments to ensure claims are paid according to contract and/or payment methodology guidelines.
- Correct claims in RTP status in either CCSM or DDe per Medicare guidelines.
- Initiate Medicare Redetermination, Reopening, and/or Reconsideration as needed.
Job Requirements:
Education/Skills
-
High School or equivalent years of experience required.
Experience
-
5 – 7 years of experience preferred.
-
Experience with the Medicare billing process.
-
College education, previous Insurance Company claims experience and/or health care billing trade school education may be considered in lieu of formal hospital experience.
Licenses, Registrations, or Certifications
-
None required.
Work Schedule:
MULTIPLE SHIFTS AVAILABLE
Work Type:
Full Time
What CHRISTUS Health employees say
Pay
Benefits
Hours and flexibility
Workplace
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About CHRISTUS Health
Sourced by ZipRecruiter
CHRISTUS Health is a prominent name in the healthcare industry, with its headquarters situated in Irving, TX, USA. Established in 1999, the company has since been devoted to providing comprehensive care and extending the healing ministry of Jesus Christ. This not-for-profit health system primarily operates more than 600 healthcare services and programs, including long-term care facilities, health insurance products, community clinics, and outreach services, serving both urban and rural populations.
Industry
Outpatient health care
Company size
1,001 - 5,000 Employees
Headquarters location
Irving, TX, US
Year founded
1999