... Recovery Audit Contractors (RAC), Qualified Independent Contractors (QIC) and Medicare/Medicaid representatives Verbal and written communication with our customers including the Centers for Medicare ...
... Recovery Audit Contractors (RAC), Qualified Independent Contractors (QIC) and Medicare/Medicaid representatives Verbal and written communication with our customers including the Centers for Medicare ...
... Recovery Audit Contractors (RAC), Qualified Independent Contractors (QIC) and Medicare/Medicaid representatives Verbal and written communication with our customers including the Centers for Medicare ...
... Recovery Audit Contractors (RAC), Qualified Independent Contractors (QIC) and Medicare/Medicaid representatives Verbal and written communication with our customers including the Centers for Medicare ...
Healthcare Audit Analyst (Remote)
Hyannis, MA · On-site +1
... Recovery Audit Contractors (RAC), Qualified Independent Contractors (QIC) and Medicare/Medicaid representatives • Verbal and written communication with our customers including the Centers for ...
Healthcare Audit Analyst (Remote)
Hyannis, MA · On-site +1
... Recovery Audit Contractors (RAC), Qualified Independent Contractors (QIC) and Medicare/Medicaid representatives • Verbal and written communication with our customers including the Centers for ...
This fully remote role follows a standard 8:00 to 17:00 schedule and focuses on Medicare financial compliance investigations. You will conduct internal and external audits, document risks, draft ...
This fully remote role follows a standard 8:00 to 17:00 schedule and focuses on Medicare financial compliance investigations. You will conduct internal and external audits, document risks, draft ...
Licensed Medicare Insurance Agent - 1099 (Remote)
$75K - $100K/yr
QuoteManage , a rapidly growing national Medicare telesales firm, is seeking experienced Medicare Agents to join us as remote independent contractors (1099). We provide pre-qualified, high-intent ...
Licensed Medicare Insurance Agent - 1099 (Remote)
$75K - $100K/yr
QuoteManage , a rapidly growing national Medicare telesales firm, is seeking experienced Medicare Agents to join us as remote independent contractors (1099). We provide pre-qualified, high-intent ...
... Medicare, Medicaid, TRICARE, etc.) , ensuring compliance, accuracy, and maximum revenue recovery ... HBiz complies with all applicable employment laws for remote and multi-state hiring and provides ...
... Medicare, Medicaid, TRICARE, etc.) , ensuring compliance, accuracy, and maximum revenue recovery ... HBiz complies with all applicable employment laws for remote and multi-state hiring and provides ...
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 ... If working in a hybrid or fully remote setting, access to reliable, secure high-speed Internet at ...
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 ... If working in a hybrid or fully remote setting, access to reliable, secure high-speed Internet at ...
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 ... If working in a hybrid or fully remote setting, access to reliable, secure high-speed Internet at ...
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 ... If working in a hybrid or fully remote setting, access to reliable, secure high-speed Internet at ...
... g., Recovery Audit Contractor (RAC), Quality Improvement Organization (QIO), etc.). In ... remote utilization review and physician advisory services. * Serve as chair of the Lee Health ...
... g., Recovery Audit Contractor (RAC), Quality Improvement Organization (QIO), etc.). In ... remote utilization review and physician advisory services. * Serve as chair of the Lee Health ...
The Opportunity As an independent Medicare Sales Agent with MPA, you'll enjoy the freedom of a 1099 contractor role while gaining access to premium tools, warm leads, and operational support that set ...
The Opportunity As an independent Medicare Sales Agent with MPA, you'll enjoy the freedom of a 1099 contractor role while gaining access to premium tools, warm leads, and operational support that set ...
The Opportunity As an independent Medicare Sales Agent with MPA, you'll enjoy the freedom of a 1099 contractor role while gaining access to premium tools, warm leads, and operational support that set ...
The Opportunity As an independent Medicare Sales Agent with MPA, you'll enjoy the freedom of a 1099 contractor role while gaining access to premium tools, warm leads, and operational support that set ...
The Opportunity As an independent Medicare Sales Agent with MPA, you'll enjoy the freedom of a 1099 contractor role while gaining access to premium tools, warm leads, and operational support that set ...
The Opportunity As an independent Medicare Sales Agent with MPA, you'll enjoy the freedom of a 1099 contractor role while gaining access to premium tools, warm leads, and operational support that set ...
The Opportunity As an independent Medicare Sales Agent with MPA, you'll enjoy the freedom of a 1099 contractor role while gaining access to premium tools, warm leads, and operational support that set ...
The Opportunity As an independent Medicare Sales Agent with MPA, you'll enjoy the freedom of a 1099 contractor role while gaining access to premium tools, warm leads, and operational support that set ...
The Opportunity As an independent Medicare Sales Agent with MPA, you'll enjoy the freedom of a 1099 contractor role while gaining access to premium tools, warm leads, and operational support that set ...
The Opportunity As an independent Medicare Sales Agent with MPA, you'll enjoy the freedom of a 1099 contractor role while gaining access to premium tools, warm leads, and operational support that set ...
The Opportunity As an independent Medicare Sales Agent with MPA, you'll enjoy the freedom of a 1099 contractor role while gaining access to premium tools, warm leads, and operational support that set ...
The Opportunity As an independent Medicare Sales Agent with MPA, you'll enjoy the freedom of a 1099 contractor role while gaining access to premium tools, warm leads, and operational support that set ...
The Opportunity As an independent Medicare Sales Agent with MPA, you'll enjoy the freedom of a 1099 contractor role while gaining access to premium tools, warm leads, and operational support that set ...
The Opportunity As an independent Medicare Sales Agent with MPA, you'll enjoy the freedom of a 1099 contractor role while gaining access to premium tools, warm leads, and operational support that set ...
The Opportunity As an independent Medicare Sales Agent with MPA, you'll enjoy the freedom of a 1099 contractor role while gaining access to premium tools, warm leads, and operational support that set ...
The Opportunity As an independent Medicare Sales Agent with MPA, you'll enjoy the freedom of a 1099 contractor role while gaining access to premium tools, warm leads, and operational support that set ...
The Opportunity As an independent Medicare Sales Agent with MPA, you'll enjoy the freedom of a 1099 contractor role while gaining access to premium tools, warm leads, and operational support that set ...
The Opportunity As an independent Medicare Sales Agent with MPA, you'll enjoy the freedom of a 1099 contractor role while gaining access to premium tools, warm leads, and operational support that set ...
The Opportunity As an independent Medicare Sales Agent with MPA, you'll enjoy the freedom of a 1099 contractor role while gaining access to premium tools, warm leads, and operational support that set ...
The Opportunity As an independent Medicare Sales Agent with MPA, you'll enjoy the freedom of a 1099 contractor role while gaining access to premium tools, warm leads, and operational support that set ...
The Opportunity As an independent Medicare Sales Agent with MPA, you'll enjoy the freedom of a 1099 contractor role while gaining access to premium tools, warm leads, and operational support that set ...
The Opportunity As an independent Medicare Sales Agent with MPA, you'll enjoy the freedom of a 1099 contractor role while gaining access to premium tools, warm leads, and operational support that set ...
Remote Medicare Recovery Audit Contractor information
See salary details
$20.91 - $22.36
1% of jobs
$22.36 - $23.80
1% of jobs
$23.80 - $25.24
3% of jobs
$26.19 is the 25th percentile. Wages below this are outliers.
$25.24 - $26.68
30% of jobs
$26.68 - $28.13
7% of jobs
The median wage is $29.04 / hr.
$28.13 - $29.57
12% of jobs
$30.31 is the 75th percentile. Wages above this are outliers.
$29.57 - $31.01
40% of jobs
$31.01 - $32.45
1% of jobs
$32.45 - $33.89
1% of jobs
$33.89 - $35.34
1% of jobs
$35.34 - $36.78
2% of jobs
$20
$29
$36
How much do remote medicare recovery audit contractor jobs pay per hour?
What is the difference between Remote Medicare Recovery Audit Contractor vs Remote Medicare Claims Processor?
| Aspect | Remote Medicare Recovery Audit Contractor | Remote Medicare Claims Processor |
|---|---|---|
| Primary Role | Audits and reviews Medicare claims to identify overpayments or fraud | Processes and enters Medicare claims for payment |
| Required Credentials | Knowledge of Medicare policies, auditing experience, certifications like CPC or CPC-A | Medical coding certifications, claims processing experience |
| Work Environment | Remote, government or contractor settings | Remote, healthcare insurance companies or government agencies |
| Industry Usage | Common in healthcare auditing and compliance | Common in healthcare administration and billing |
The Remote Medicare Recovery Audit Contractor focuses on auditing Medicare claims to ensure compliance and recover overpayments, requiring auditing credentials. In contrast, the Remote Medicare Claims Processor handles the submission and processing of claims, emphasizing billing and coding skills. Both roles are remote and integral to Medicare operations but serve different functions within the healthcare payment process.

Cape Cod Healthcare rating
6.7
Based on 33 frontline employees who took The Breakroom Quiz
532nd of 890 rated healthcare providers
Job description
1. Develops systems and procedures for all government audits, gathers, compiles, organizes and documents relevant audit information.
2. Analyzes, consolidates and interprets audit data.
3. Present audit findings and all other relevant information to Senior Management, and/or the Audit Committee on an as needed basis.
4. Specific knowledge of Medicare Medicaid and commercial payer audit processes and time frames.
5. Delegation of assignments relating to the appeals process to appeal representatives and technical staff.
6. Ensure compliance with all corporate standards and audit regulations as well as all CMS and commercial requirements.
7. Communicate with/educate external entities including the Centers for Medicare and Medicaid Services, Office of Inspector General, commercial payers, appellants and their authorized representatives.
8. Communicate effectively. This position displays effective communication skills while performing the following functions:
Verbal and written communication with Director and senior leadership, peers, departmental staff, and various corporate support departments
Verbal and written communication with external business partners including vendors, payer representatives, Recovery Audit Contractors (RAC), Qualified Independent Contractors (QIC) and Medicare/Medicaid representatives
Verbal and written communication with our customers including the Centers for Medicare and Medicaid Services (CMS), providers, and beneficiaries.
9. Identify opportunities, using Medicare policies and procedures, claims processing procedures and related data processing systems, to improve overall performance.
10. Coordinate activities and exchange of information with external business partners
11. Recommend, coordinate and initiate improvements to the process to achieve efficiency, cost reduction, productivity, and quality gains
12. Effectively utilizes audit tools. Utilizes with increasing proficiency, proprietary reports, tools and systems required to perform duties. With moderate guidance and direction,
timely executes assigned standard reports and updates. Working proficiency with all systems and applications including Decipher and client tools.
13. Coordinate provider education activities
14. Provide feedback to management on the status of audits in their section to ensure the department contributes toward the department meeting and exceeding all performance standards
15. Challenges current working practices; identifies process improvement opportunities and presents recommendations and solutions to management. Engages and commits to the organization's culture of continuous improvement by actively participating, supporting, and promoting CCHC Pillars of Excellence.
Associate's or bachelor's degree in Business or related field, or a combination of education and work experience;
One (1) to three (3) years of progressively more responsible healthcare experience
Experience with hospital information systems preferred.
Excellent interpersonal, problem solving, and critical thinking skills are required.
Excellent PC skills with a strong emphasis on the Outlook suite of products are required.
Excellent verbal and written communication skills are required.
Prior experience with analysis of government audits are a plus.
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About Cape Cod Hospital
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Hyannis, MA, US
Year founded
1920