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 ...
Quick apply
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 ...
Quick apply
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 ...
Shreveport, LA · On-site
The Recovery Audit Department is seeking a Recovery Coordinator. This individual should be highly motivated, maintain strong organizational skills with the ability to meet crucial deadlines, possess ...
Shreveport, LA · On-site
The Recovery Audit Department is seeking a Recovery Coordinator. This individual should be highly motivated, maintain strong organizational skills with the ability to meet crucial deadlines, possess ...
The Recovery Audit Department is seeking a Recovery Coordinator. This individual should be highly motivated, maintain strong organizational skills with the ability to meet crucial deadlines, possess ...
The Recovery Audit Department is seeking a Recovery Coordinator. This individual should be highly motivated, maintain strong organizational skills with the ability to meet crucial deadlines, possess ...
We are seeking a highly experienced and strategic Director of Post-Pay Audit to lead our medical revenue recovery audit teams across both onshore (U.S.) and offshore (Philippines) operations. This ...
We are seeking a highly experienced and strategic Director of Post-Pay Audit to lead our medical revenue recovery audit teams across both onshore (U.S.) and offshore (Philippines) operations. This ...
We are seeking a highly experienced and strategic Director of Post-Pay Audit to lead our medical revenue recovery audit teams across both onshore (U.S.) and offshore (Philippines) operations. This ...
We are seeking a highly experienced and strategic Director of Post-Pay Audit to lead our medical revenue recovery audit teams across both onshore (U.S.) and offshore (Philippines) operations. This ...
Greensboro, NC · On-site
Read more about apexanalytix - Quick Take - We are seeking an Audit Support Analyst to assist in the Recovery audit process working with our clients' suppliers to ensure we are completing an ...
Greensboro, NC · On-site
Read more about apexanalytix - Quick Take - We are seeking an Audit Support Analyst to assist in the Recovery audit process working with our clients' suppliers to ensure we are completing an ...
Lead PRP's Accounts Payable (AP) Recovery Audit practice; overseeing client engagements, team execution, and overall P&L performance. * Manage end-to-end audit lifecycle, from data acquisition and ...
Lead PRP's Accounts Payable (AP) Recovery Audit practice; overseeing client engagements, team execution, and overall P&L performance. * Manage end-to-end audit lifecycle, from data acquisition and ...
Lead PRP's Accounts Payable (AP) Recovery Audit practice; overseeing client engagements, team execution, and overall P&L performance. * Manage end-to-end audit lifecycle, from data acquisition and ...
Lead PRP's Accounts Payable (AP) Recovery Audit practice; overseeing client engagements, team execution, and overall P&L performance. * Manage end-to-end audit lifecycle, from data acquisition and ...
Lead PRP's Accounts Payable (AP) Recovery Audit practice; overseeing client engagements, team execution, and overall P&L performance. * Manage end-to-end audit lifecycle, from data acquisition and ...
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Lead PRP's Accounts Payable (AP) Recovery Audit practice; overseeing client engagements, team execution, and overall P&L performance. * Manage end-to-end audit lifecycle, from data acquisition and ...
$14.50 - $19.25/hr
Our paid internship program is designed to accomplish three things: 1) provide the intern an opportunity to work with a team on a relevant project(s) within our Recovery Audit Services section, 2) ...
$14.50 - $19.25/hr
Our paid internship program is designed to accomplish three things: 1) provide the intern an opportunity to work with a team on a relevant project(s) within our Recovery Audit Services section, 2) ...
Baton Rouge, LA · On-site
$14.50 - $19.25/hr
Overview Our paid internship program is designed to accomplish three things: 1) provide the intern an opportunity to work with a team on a relevant project(s) within our Recovery Audit Services ...
Baton Rouge, LA · On-site
$14.50 - $19.25/hr
Overview Our paid internship program is designed to accomplish three things: 1) provide the intern an opportunity to work with a team on a relevant project(s) within our Recovery Audit Services ...
$12.25 - $16.50/hr
Overview Our paid internship program is designed to accomplish three things: 1) provide the intern an opportunity to work with a team on a relevant project(s) within our Recovery Audit Services ...
$12.25 - $16.50/hr
Overview Our paid internship program is designed to accomplish three things: 1) provide the intern an opportunity to work with a team on a relevant project(s) within our Recovery Audit Services ...
Baton Rouge, LA · On-site
$14.50 - $19.25/hr
Overview Our paid internship program is designed to accomplish three things: 1) provide the intern an opportunity to work with a team on a relevant project(s) within our Recovery Audit Services ...
Baton Rouge, LA · On-site
$14.50 - $19.25/hr
Overview Our paid internship program is designed to accomplish three things: 1) provide the intern an opportunity to work with a team on a relevant project(s) within our Recovery Audit Services ...
Baton Rouge, LA · On-site
$11.75 - $15.75/hr
Overview Our paid internship program is designed to accomplish three things: 1) provide the intern an opportunity to work with a team on a relevant project(s) within our Recovery Audit Services ...
Baton Rouge, LA · On-site
$11.75 - $15.75/hr
Overview Our paid internship program is designed to accomplish three things: 1) provide the intern an opportunity to work with a team on a relevant project(s) within our Recovery Audit Services ...
Irving, TX · On-site
$51K - $87K/yr
Track recovery progress using audit systems, dashboards, and reporting tools. * Escalate unresolved or disputed cases to management with a solutions-oriented approach. * Apply conflict resolution ...
Irving, TX · On-site
$51K - $87K/yr
Track recovery progress using audit systems, dashboards, and reporting tools. * Escalate unresolved or disputed cases to management with a solutions-oriented approach. * Apply conflict resolution ...
$17.75 - $22.50/hr
Medicare/Medicaid collections Recovery Audit Contractor (RAC) processes Insurance claims processing Healthcare billing systems and collections software Technical Skills Strong understanding of: CMS ...
$17.75 - $22.50/hr
Medicare/Medicaid collections Recovery Audit Contractor (RAC) processes Insurance claims processing Healthcare billing systems and collections software Technical Skills Strong understanding of: CMS ...
Government Audit Recovery Specialist Location: Costa Mesa Pay Range: $25.00 - $34.00 per hour We are seeking an experienced Government Audit Recovery Specialist to support audit and compliance ...
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Government Audit Recovery Specialist Location: Costa Mesa Pay Range: $25.00 - $34.00 per hour We are seeking an experienced Government Audit Recovery Specialist to support audit and compliance ...
Hattiesburg, MS · On-site
In this position, the employee will assist the Revenue Analyst with Procedure and Recovery Audit Contractor (RAC) audits, ensuring that all audits are completed in a timely manner. The role also ...
Hattiesburg, MS · On-site
In this position, the employee will assist the Revenue Analyst with Procedure and Recovery Audit Contractor (RAC) audits, ensuring that all audits are completed in a timely manner. The role also ...
Olympia, WA · On-site +1
$78K - $106K/yr
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 payments owed and ...
Olympia, WA · On-site +1
$78K - $106K/yr
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 payments owed and ...
Provide support for investment applications solving production issues, monitoring systems, performing maintenance, disaster recovery, audit artifacts, change control review and upgrades to highly ...
Provide support for investment applications solving production issues, monitoring systems, performing maintenance, disaster recovery, audit artifacts, change control review and upgrades to highly ...
$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
To thrive as a Recovery Audit professional, you need a strong background in finance, accounting, data analysis, and attention to detail, often supported by a degree in accounting or a related field. Familiarity with recovery audit software, spreadsheets, and ERP financial systems such as SAP or Oracle is typically required, and certifications like Certified Public Accountant (CPA) or Certified Internal Auditor (CIA) can be advantageous. Strong communication, critical thinking, and problem-solving abilities help build relationships with clients and internal teams while identifying discrepancies. These skills and qualities are vital to ensuring accurate financial recoveries, maintaining compliance, and maximizing organizational profitability.
A Recovery Audit job involves reviewing financial transactions, payments, and invoices to identify overpayments, duplicate payments, or billing errors. Professionals in this role analyze financial records, reconcile accounts, and ensure compliance with contracts and regulations. They work to recover lost funds for organizations by identifying discrepancies and initiating corrective actions. This role requires strong analytical skills, attention to detail, and knowledge of financial systems and auditing processes. Recovery audit professionals often collaborate with finance teams, vendors, and clients to resolve payment issues efficiently.
A Recovery Audit professional spends much of their day reviewing transactions, invoices, contracts, and vendor records to identify errors and recover lost revenue. They analyze large data sets, document findings, prepare detailed audit reports, and communicate with both internal departments and external vendors to resolve discrepancies. Additionally, they may participate in process improvement initiatives to help prevent future errors. Collaboration with procurement, accounts payable, and management teams is common, and the role often requires balancing independent analytical work with teamwork to drive successful audit outcomes.
Full-time
Posted 19 days ago
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
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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