... from Government Agencies related to Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Targeted Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of ...
Quick apply
... from Government Agencies related to Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Targeted Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of ...
Quick apply
... from Government Agencies related to Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Targeted Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of ...
$141K - $233K/yr
Audit contractor billing and allocations to ensure amounts are in accordance with contract terms ... Bachelor's degree from an accredited college or university in Accounting, Finance or related field.
$141K - $233K/yr
Audit contractor billing and allocations to ensure amounts are in accordance with contract terms ... Bachelor's degree from an accredited college or university in Accounting, Finance or related field.
Dallas, TX · On-site
$141K - $233K/yr
Audit contractor billing and allocations to ensure amounts are in accordance with contract terms ... Bachelor's degree from an accredited college or university in Accounting, Finance or related field.
Dallas, TX · On-site
$141K - $233K/yr
Audit contractor billing and allocations to ensure amounts are in accordance with contract terms ... Bachelor's degree from an accredited college or university in Accounting, Finance or related field.
Wylie, TX · Remote
$12 - $17/hr
AXL Advanced is seeking a dependable and detail-oriented contractor to complete production finishing work from home. This is a 1099 contract, part-time, piece-rate jobs . You will pick up materials ...
Quick apply
Wylie, TX · Remote
$12 - $17/hr
AXL Advanced is seeking a dependable and detail-oriented contractor to complete production finishing work from home. This is a 1099 contract, part-time, piece-rate jobs . You will pick up materials ...
Philadelphia, PA · On-site
$30K - $100K/yr
Commissions: * $50 per completed home audit and system entry * 5% of closed and completed projects ... Consistent lead flow and support from operations teams * Opportunity to grow within the HVAC and ...
Quick apply
Philadelphia, PA · On-site
$30K - $100K/yr
Commissions: * $50 per completed home audit and system entry * 5% of closed and completed projects ... Consistent lead flow and support from operations teams * Opportunity to grow within the HVAC and ...
Eden Prairie, MN · Hybrid
$112K - $193K/yr
If you are located in Minnetonka, MN, you will have the flexibility to work from home and the ... This includes assisting staff members and audit contractors in the development and negotiation of ...
Eden Prairie, MN · Hybrid
$112K - $193K/yr
If you are located in Minnetonka, MN, you will have the flexibility to work from home and the ... This includes assisting staff members and audit contractors in the development and negotiation of ...
Long Island City, NY · Hybrid
$112K - $147K/yr
... and contracted providers including agencies that are statutorily required to be audited by the ... Depending on your position, you may be able to work up to two days during the week from home. - Job ...
Long Island City, NY · Hybrid
$112K - $147K/yr
... and contracted providers including agencies that are statutorily required to be audited by the ... Depending on your position, you may be able to work up to two days during the week from home. - Job ...
Long Island City, NY · Hybrid
$112K - $147K/yr
... and contracted providers including agencies that are statutorily required to be audited by the ... Depending on your position, you may be able to work up to two days during the week from home. - Job ...
Long Island City, NY · Hybrid
$112K - $147K/yr
... and contracted providers including agencies that are statutorily required to be audited by the ... Depending on your position, you may be able to work up to two days during the week from home. - Job ...
Eden Prairie, MN · On-site
$112K - $193K/yr
If you are located in Minnetonka, MN, you will have the flexibility to work from home and the ... This includes assisting staff members and audit contractors in the development and negotiation of ...
Eden Prairie, MN · On-site
$112K - $193K/yr
If you are located in Minnetonka, MN, you will have the flexibility to work from home and the ... This includes assisting staff members and audit contractors in the development and negotiation of ...
Long Island City, NY · Hybrid
$112K - $147K/yr
... and contracted providers including agencies that are statutorily required to be audited by the ... Depending on your position, you may be able to work up to two days during the week from home. - Job ...
Long Island City, NY · Hybrid
$112K - $147K/yr
... and contracted providers including agencies that are statutorily required to be audited by the ... Depending on your position, you may be able to work up to two days during the week from home. - Job ...
Long Island City, NY · Hybrid
$112K - $147K/yr
... and contracted providers including agencies that are statutorily required to be audited by the ... Depending on your position, you may be able to work up to two days during the week from home. - Job ...
Long Island City, NY · Hybrid
$112K - $147K/yr
... and contracted providers including agencies that are statutorily required to be audited by the ... Depending on your position, you may be able to work up to two days during the week from home. - Job ...
Hattiesburg, MS · On-site
... Contractor (RAC) audits, ensuring that all audits are completed in a timely manner. The role also ... Graduate from a school of nursing (LPN or RN), required * If LPN or RN candidate is without coding ...
Hattiesburg, MS · On-site
... Contractor (RAC) audits, ensuring that all audits are completed in a timely manner. The role also ... Graduate from a school of nursing (LPN or RN), required * If LPN or RN candidate is without coding ...
Parsippany, NJ · Hybrid
$120K - $130K/yr
On-site client work, 3 days in office, 2 days WFH * Compensation: $120K$130K based on experience ... Oversee audit planning, fieldwork, and engagement wrap-up * Supervise and mentor audit staff and ...
Quick apply
Parsippany, NJ · Hybrid
$120K - $130K/yr
On-site client work, 3 days in office, 2 days WFH * Compensation: $120K$130K based on experience ... Oversee audit planning, fieldwork, and engagement wrap-up * Supervise and mentor audit staff and ...
Los Angeles, CA · On-site +1
Psychics, Tarot Readers, Mediums & Clairvoyants Work from Home Opportunities! (US & Canada Only) We are hiring Independent Contractors to join our team of psychic advisors working from home. If you ...
Los Angeles, CA · On-site +1
Psychics, Tarot Readers, Mediums & Clairvoyants Work from Home Opportunities! (US & Canada Only) We are hiring Independent Contractors to join our team of psychic advisors working from home. If you ...
Jacksonville, FL · Remote
$96K - $126K/yr
... either from home or from the client's location. Non Profit, Single Audit, and 401k audits ... experience a plus Qualifications Recent audit and review experience including financial statement ...
Jacksonville, FL · Remote
$96K - $126K/yr
... either from home or from the client's location. Non Profit, Single Audit, and 401k audits ... experience a plus Qualifications Recent audit and review experience including financial statement ...
Dallas, TX · On-site
$99K - $132K/yr
... from home each week. Approximately 30% travel is required. The Internal Audit Manager is ... Review costs and revenues by Contractors/Subcontractors and Customers * Recognize revenue sources ...
Dallas, TX · On-site
$99K - $132K/yr
... from home each week. Approximately 30% travel is required. The Internal Audit Manager is ... Review costs and revenues by Contractors/Subcontractors and Customers * Recognize revenue sources ...
Olympia, WA · Hybrid
$78K - $106K/yr
... RAC contractor. Manage and monitor all overpayment recovery activities resulting from the work of the RAC and the UPIC and internal audit unit. Receive, track, record, and reconcile all recovery ...
Olympia, WA · Hybrid
$78K - $106K/yr
... RAC contractor. Manage and monitor all overpayment recovery activities resulting from the work of the RAC and the UPIC and internal audit unit. Receive, track, record, and reconcile all recovery ...
Saint Paul, MN · On-site
$35.96 - $53.32/hr
Ensure and enforce contractor compliance with state and federal regulatory and contractual ... Variety of experiences working effectively with others from different backgrounds and cultures.
Saint Paul, MN · On-site
$35.96 - $53.32/hr
Ensure and enforce contractor compliance with state and federal regulatory and contractual ... Variety of experiences working effectively with others from different backgrounds and cultures.
Olympia, WA · On-site +1
$78K - $106K/yr
Review and approve all invoices issued to HCA from the RAC contractor. Review must be thorough and ... audit unit. * Receive, track, record, and reconcile all recovery payments owed and received.
Olympia, WA · On-site +1
$78K - $106K/yr
Review and approve all invoices issued to HCA from the RAC contractor. Review must be thorough and ... audit unit. * Receive, track, record, and reconcile all recovery payments owed and received.
Saint Paul, MN · On-site
$104K - $125K/yr
Incident response/ investigations from companies perspective. Availability for PMs for Safety ... Audit contractor PJBs/JSAs and conduct quality observations (daily). Requirements of the Safety ...
Saint Paul, MN · On-site
$104K - $125K/yr
Incident response/ investigations from companies perspective. Availability for PMs for Safety ... Audit contractor PJBs/JSAs and conduct quality observations (daily). Requirements of the Safety ...
$61K - $69.8K
0% of jobs
$69.8K - $78.5K
2% of jobs
$78.5K - $87.3K
4% of jobs
$87.3K - $96.1K
7% of jobs
$104.7K is the 25th percentile. Wages below this are outliers.
$96.1K - $104.9K
12% of jobs
$104.9K - $113.6K
14% of jobs
The median wage is $119.8K / yr.
$113.6K - $122.4K
16% of jobs
$122.4K - $131.2K
16% of jobs
$133.8K is the 75th percentile. Wages above this are outliers.
$131.2K - $140K
15% of jobs
$140K - $148.7K
8% of jobs
$148.7K - $157.5K
6% of jobs
$61K
$120.2K
$157.5K
Full-time
Posted 5 hours ago
Be an early applicant
Position Summary:
The Government Recovery Specialist performs duties associated with Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other government regulatory and enforcement agency audits for documentation and billing compliance. This includes data entry, processing of mail, preparation of audit information, and correspondence with government contractors as needed. This role has a fundamental understanding of the RAC program and other audits for documentation and billing compliance. As an essential role and focal point of all government audit activity, the Government Recovery Specialist is responsible for responding to correspondence from Government Agencies related to Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Targeted Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), Quality Improvement Organizations (QIO) and other Medicaid, Medi-Cal regulatory auditing body for pre and post payment audits.
Skills:
Required Skills & Experience:
3 years of Medicare billing experience in billing, follow up, in an acute care setting.
Experience working on complex projects.
1-3 years of experience in healthcare acute setting regulatory audits and appeals.
Experience with and understanding of CMS billing, payment and reimbursement methodologies.
Knowledge of privacy regulations, security regulations, release of information, CMS rules and regulations.
Proficiency in Microsoft Office applications (Word, PowerPoint, Excel, Outlook).
Preferred Skills & Experience:
5 years of experience or more in an acute setting.
3 years of experience in healthcare acute setting regulatory audits and appeals.
Experience working on government, Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Targeted Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), and other Medicaid, Medi-Cal and other regulatory audits.
5 years of experience in Medicare billing, follow up, appeals.
Knowledge of utilization management process, coding, medical necessity criteria.
3 years of Medicare billing experience in billing, follow up, in an acute care setting
Experience working on complex projects
1-3 years of experience in healthcare acute setting regulatory audits and appeals
Experience with and understanding of CMS billing, payment and reimbursement methodologies
Knowledge of privacy regulations, security regulations, release of information, CMS rules and regulations
Proficiency in Microsoft Office applications (Word, PowerPoint, Excel, Outlook).
Preferred:
5 years of experience or more in an acute setting
3 years of experience in healthcare acute setting regulatory audits and appeals
Experience working on government, Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Targeted Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG), and other Medicaid, Medi-Cal and other regulatory audits
5 years of experience in Medicare billing, follow up, appeals
Knowledge of utilization management process, coding, medical necessity criteria
Education:
Required Education:
High school diploma or equivalent experience.
Required Certifications & Licensure:
High school diploma or equivalent experience
Languages:
English
Schedule Notes:
Is this position Remote No Work Location Address: 2995 Red Hill Ave Costa Mesa CA LOA Coverage
Sourced by ZipRecruiter
We understand that attracting, qualifying, placing, and retaining the best candidates for our clients requires exceptional talent. That’s why our highly skilled and dedicated recruitment team works tirelessly to develop lifelong associations with all candidates and clients. We prioritize helping our employees achieve their career goals while providing effective staffing solutions to our clients and candidates. At Apidel, we believe in simple yet established core values that are ingrained within each member of our team. These values are time and again illustrated in our approach to employees, candidates, and clients. Our unwavering belief that our core values of integrity, client satisfaction, innovation, and intellect distinguish us from our competitors is what drives us forward. We remain focused on improving and sustaining a measurable client satisfaction program that has created an organizational culture where our associates provide world-class service every day.
Recruiting and staffing services
501 - 1,000 Employees
Plainfield, IL, US
2012