$28.38 - $31.38/hr
Responsible for the accurate and timely billing of hospice services in accordance with Medicare ... Assists with audits, ADR requests, PEPPER reviews, and compliance activities as directed. INDHP
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$28.38 - $31.38/hr
Responsible for the accurate and timely billing of hospice services in accordance with Medicare ... Assists with audits, ADR requests, PEPPER reviews, and compliance activities as directed. INDHP
$32.25 - $42.25/hr
This is a Part-Time Position Are you an experienced nurse who wants to remain clinically involved ... RAC-CT * Knowledge of the Resident Assessment Instrument (RAI) process, including the principles ...
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$32.25 - $42.25/hr
This is a Part-Time Position Are you an experienced nurse who wants to remain clinically involved ... RAC-CT * Knowledge of the Resident Assessment Instrument (RAI) process, including the principles ...
Fenton, MI · On-site
$32.25 - $42.25/hr
Fenton Healthcare Center - This is a Part-Time Position Are you an experienced nurse who wants to ... RAC-CT * Knowledge of the Resident Assessment Instrument (RAI) process, including the principles ...
Fenton, MI · On-site
$32.25 - $42.25/hr
Fenton Healthcare Center - This is a Part-Time Position Are you an experienced nurse who wants to ... RAC-CT * Knowledge of the Resident Assessment Instrument (RAI) process, including the principles ...
$32.25 - $42.25/hr
This is a Part-Time Position Are you an experienced nurse who wants to remain clinically involved ... RAC-CT * Knowledge of the Resident Assessment Instrument (RAI) process, including the principles ...
Quick apply
$32.25 - $42.25/hr
This is a Part-Time Position Are you an experienced nurse who wants to remain clinically involved ... RAC-CT * Knowledge of the Resident Assessment Instrument (RAI) process, including the principles ...
Fenton, MI · On-site
$32.25 - $42.25/hr
) This is a Part-Time Position Are you an experienced nurse who wants to remain clinically involved ... RAC-CT * Knowledge of the Resident Assessment Instrument (RAI) process, including the principles ...
Fenton, MI · On-site
$32.25 - $42.25/hr
) This is a Part-Time Position Are you an experienced nurse who wants to remain clinically involved ... RAC-CT * Knowledge of the Resident Assessment Instrument (RAI) process, including the principles ...
Charlotte, NC · On-site
Admission Criteria, Appeals and Denials, Audits, Benefits Eligibility, Care coordination, Clinical ... CMS: Centers for Medicare and Medicaid Services, CPT (Current Procedural Terminology) coding and ...
Charlotte, NC · On-site
Admission Criteria, Appeals and Denials, Audits, Benefits Eligibility, Care coordination, Clinical ... CMS: Centers for Medicare and Medicaid Services, CPT (Current Procedural Terminology) coding and ...
Charlotte, NC · On-site
$36.50 - $44/hr
Admission Criteria, Appeals and Denials, Audits, Benefits Eligibility, Care coordination, Clinical ... CMS: Centers for Medicare and Medicaid Services, CPT (Current Procedural Terminology) coding and ...
Charlotte, NC · On-site
$36.50 - $44/hr
Admission Criteria, Appeals and Denials, Audits, Benefits Eligibility, Care coordination, Clinical ... CMS: Centers for Medicare and Medicaid Services, CPT (Current Procedural Terminology) coding and ...
$97K - $97K/yr
... Medicare & Medicaid Services (CMS). Education * Associate or bachelor's degree, 2 plus years ... Knowledge of ADRs, post payment audits and appeals processes, requirements and guidelines
$97K - $97K/yr
... Medicare & Medicaid Services (CMS). Education * Associate or bachelor's degree, 2 plus years ... Knowledge of ADRs, post payment audits and appeals processes, requirements and guidelines
Jupiter, FL · On-site
$97K - $97K/yr
... Medicare & Medicaid Services (CMS). Education * Associate or bachelor's degree, 2 plus years ... Knowledge of ADRs, post payment audits and appeals processes, requirements and guidelines
Jupiter, FL · On-site
$97K - $97K/yr
... Medicare & Medicaid Services (CMS). Education * Associate or bachelor's degree, 2 plus years ... Knowledge of ADRs, post payment audits and appeals processes, requirements and guidelines
Jupiter, FL · On-site
$97K - $97K/yr
... Medicare & Medicaid Services (CMS). Education * Associate or bachelor's degree, 2 plus years ... Knowledge of ADRs, post payment audits and appeals processes, requirements and guidelines
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Jupiter, FL · On-site
$97K - $97K/yr
... Medicare & Medicaid Services (CMS). Education * Associate or bachelor's degree, 2 plus years ... Knowledge of ADRs, post payment audits and appeals processes, requirements and guidelines
Manchester, IA · On-site
$24.50 - $28/hr
... Medicare and Medicaid (CMS) guidelines. Provides ongoing feedback and analysis of the education ... audits and inquiries including CMS, Medicaid, RAC, HRSA, and PERM to ensure appropriate ...
Manchester, IA · On-site
$24.50 - $28/hr
... Medicare and Medicaid (CMS) guidelines. Provides ongoing feedback and analysis of the education ... audits and inquiries including CMS, Medicaid, RAC, HRSA, and PERM to ensure appropriate ...
Cerritos, CA · On-site
$21.42 - $31.50/hr
Pull data for audits and assist with special projects and or backlogs within the office. Actively ... Pull and copy Medicare / Medi-Cal Remittance Advice for collectors and auditors in timely manner.
Cerritos, CA · On-site
$21.42 - $31.50/hr
Pull data for audits and assist with special projects and or backlogs within the office. Actively ... Pull and copy Medicare / Medi-Cal Remittance Advice for collectors and auditors in timely manner.
Appleton, WI · On-site
$26.50 - $30.25/hr
... Medicare and Medicaid (CMS) guidelines. Provides ongoing feedback and analysis of the education ... audits and inquiries including CMS, Medicaid, RAC, HRSA, and PERM to ensure appropriate ...
Appleton, WI · On-site
$26.50 - $30.25/hr
... Medicare and Medicaid (CMS) guidelines. Provides ongoing feedback and analysis of the education ... audits and inquiries including CMS, Medicaid, RAC, HRSA, and PERM to ensure appropriate ...
$33.25 - $42.50/hr
Audit & Support: Conduct routine quality reviews on medical records and provide helpful feedback to ... RAC-CT (Resident Assessment Coordinator Certified) designation or LPNAC equivalent is a massive ...
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$33.25 - $42.50/hr
Audit & Support: Conduct routine quality reviews on medical records and provide helpful feedback to ... RAC-CT (Resident Assessment Coordinator Certified) designation or LPNAC equivalent is a massive ...
$38 - $45/hr
Regulatory Affairs Manager Santa Ana, CA Part-time Approximately 20-25 hours per week About Huisong ... Manage regulatory audits (FDA, NSF, customer audits) and lead corrective actions. * Oversee ...
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$38 - $45/hr
Regulatory Affairs Manager Santa Ana, CA Part-time Approximately 20-25 hours per week About Huisong ... Manage regulatory audits (FDA, NSF, customer audits) and lead corrective actions. * Oversee ...
Santa Ana, CA · On-site
$38 - $45/hr
Regulatory Affairs Manager Santa Ana, CA Part-time Approximately 20-25 hours per week About Huisong ... Manage regulatory audits (FDA, NSF, customer audits) and lead corrective actions. * Oversee ...
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Santa Ana, CA · On-site
$38 - $45/hr
Regulatory Affairs Manager Santa Ana, CA Part-time Approximately 20-25 hours per week About Huisong ... Manage regulatory audits (FDA, NSF, customer audits) and lead corrective actions. * Oversee ...
Springfield, IL · On-site
$17 - $18.15/hr
Conducts audits of accounts and assures that all forms are completed accurate, timely to meet audit ... Explains and distributes patient education documents, such as Important Message from Medicare ...
Springfield, IL · On-site
$17 - $18.15/hr
Conducts audits of accounts and assures that all forms are completed accurate, timely to meet audit ... Explains and distributes patient education documents, such as Important Message from Medicare ...
Utica, NY · On-site
$23 - $35/hr
Audit charges and establish proper coding in collaboration with providers * Initiate and follow up ... Respond to Insurance, compliance and RAC denials * Review and assist in the maintenance of coding ...
Utica, NY · On-site
$23 - $35/hr
Audit charges and establish proper coding in collaboration with providers * Initiate and follow up ... Respond to Insurance, compliance and RAC denials * Review and assist in the maintenance of coding ...
Springfield, IL · On-site
$17 - $18.15/hr
Conducts audits of accounts and assures that all forms are completed accurate, timely to meet audit ... Explains and distributes patient education documents, such as Important Message from Medicare ...
Springfield, IL · On-site
$17 - $18.15/hr
Conducts audits of accounts and assures that all forms are completed accurate, timely to meet audit ... Explains and distributes patient education documents, such as Important Message from Medicare ...
Springfield, IL · On-site
$17 - $18.15/hr
Conducts audits of accounts and assures that all forms are completed accurate, timely to meet audit ... Explains and distributes patient education documents, such as Important Message from Medicare ...
Springfield, IL · On-site
$17 - $18.15/hr
Conducts audits of accounts and assures that all forms are completed accurate, timely to meet audit ... Explains and distributes patient education documents, such as Important Message from Medicare ...
| Aspect | Part Time Medicare Rac Audit | Part Time Medicare Claims Processor |
|---|---|---|
| Required Credentials | Knowledge of RAC audit procedures, Medicare regulations | Understanding of claims processing, coding, Medicare policies |
| Work Environment | Remote or office-based, audit-focused | Office or remote, claims review and data entry |
| Employer & Industry Usage | Healthcare auditing firms, Medicare contractors | Hospitals, insurance companies, healthcare providers |
While both roles involve Medicare, Part Time Medicare RAC Auditors focus on reviewing and auditing claims for compliance, whereas Part Time Medicare Claims Processors handle the processing and data entry of claims. The roles differ mainly in their focus—auditing versus claims processing—though both require knowledge of Medicare policies and can be performed remotely or in-office.
$28.38 - $31.38/hr
Part-time
Posted 14 days ago
Longwood Hospice Part-Time Biller
Position Summary:
Responsible for the accurate and timely billing of hospice services in accordance with Medicare, MassHealth, commercial insurance, and agency policies and procedures. Ensures claims are processed efficiently while maintaining compliance with CMS Conditions of Participation, Massachusetts Department of Public Health regulations, HIPAA standards, and payer-specific requirements. Monitors accounts receivable, resolve billing issues, and collaborates with clinical and administrative staff to support compliant reimbursement practices.
Position Qualifications and Entrance Requirements:
High school diploma or equivalent required; Associate degree in healthcare administration, accounting, or related field preferred.
Minimum of two (2) years medical billing experience required.
Hospice or home health billing experience strongly preferred.
Knowledge of Medicare hospice billing regulations and MassHealth requirements required.
Experience with UB-04 claim forms, electronic billing systems, and clearinghouses required.
Experience with MatrixCare or similar EMR/billing systems preferred.
Strong organizational, analytical, and problem-solving skills required.
Ability to manage multiple tasks and meet deadlines in a fast-paced environment.
Must possess strong verbal, written, and interpersonal communication skills.
Must demonstrate competency with computers including Microsoft Office applications.
Essential Job Functions and Duties:
Processes and submits hospice claims to Medicare, MassHealth, commercial insurance carriers, and private pay sources accurately and timely.
Reviews patient records and supporting documentation to ensure billing accuracy and compliance with federal and Massachusetts regulations.
Maintains working knowledge of Medicare hospice billing requirements including NOE, NOTR, revocations, transfers, discharges, and benefit periods.
Verifies insurance eligibility, payer authorization requirements, and hospice benefit coverage.
Monitors claim status and follows up on unpaid, denied, or rejected claims promptly.
Researches and resolves billing discrepancies and communicates with payers regarding claim issues and reimbursement status.
Posts payments, adjustments, denials, and contractual allowances accurately within the billing system.
Maintains and reconciles receivable accounts and aging reports.
Coordinates with intake, clinical staff, and leadership to obtain required documentation necessary for billing compliance.
Assists with audits, ADR requests, PEPPER reviews, and compliance activities as directed.
INDHP
