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Remote Recovery Audit Contractor Jobs in Arizona

... remote. The Premium Recovery Analyst's primary responsibility is to work directly with the insureds to recover outstanding Premium Audit and Deductible balances in a customer service focused ...

... remote. The Premium Recovery Analyst's primary responsibility is to work directly with the insureds to recover outstanding Premium Audit and Deductible balances in a customer service focused ...

Audit Service Delivery Lead

Phoenix, AZ ยท Remote

$55K - $70K/yr

Audits Assessments Supplier Desktop Evaluations Manage remote Service Delivery Coordination team ... Contractor upskilling needs, and process friction to surface risks before they become delivery ...

Payment Recovery Specialist

Yuma, AZ ยท Remote

$22 - $23/hr

... payor relations and contracting teams to correct underpayments, discrepancies, or missing ... Remote Family Care Center is an Equal Opportunity Employer and does not discriminate on the basis ...

$71K/yr

REMOTE OPTIONS, PHOENIX Categories: Accounting/Auditing, Healthcare/Medical Support Level, Research ... Provide oversight of the MM process at the Contractor level. Participate in the Operational Review ...

Chief Internal Auditor

Phoenix, AZ ยท On-site +1

$88K - $140K/yr

All work, including remote work, should be performed within Arizona unless an exception is properly ... of contracted audits. Perform independent analyses of significant operations to evaluate the ...

$90K/yr

REMOTE OPTIONS, PHOENIX Categories: Accounting/Auditing, Administrative Support/Customer Service ... The Accountant IV maintains audit-ready documentation, processes and validates sub recipient ...

Database Administrator

Phoenix, AZ ยท Remote

$95K - $115K/yr

Support recovery objectives (RPO/RTO) and participate in DR exercises and audits. 4. Automation ... Database Administrator Associate. #LI-KS1 #LI-Remote The Compensation range for this role is $95 ...

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Remote Recovery Audit Contractor information

What are the main challenges faced by a Remote Recovery Audit Contractor and how can they be overcome?

Remote Recovery Audit Contractors often face challenges such as accessing and analyzing large volumes of healthcare or financial data from diverse sources, ensuring compliance with privacy regulations, and maintaining clear communication with clients and team members. To overcome these, it's important to develop strong organizational and analytical skills, stay updated on industry regulations, and leverage secure collaboration tools. Regular virtual meetings and proactive communication also help in aligning with stakeholders and resolving discrepancies efficiently.

What is the difference between Remote Recovery Audit Contractor vs Remote Healthcare Auditor?

AspectRemote Recovery Audit ContractorRemote Healthcare Auditor
CredentialsCPAR certification often preferredCPAR, CHAP, or similar healthcare-specific certifications
Work EnvironmentRemote, contract-based, healthcare industryRemote, healthcare industry focus
Employer & Industry UsageHealthcare payers, government agencies, insurance companiesHospitals, healthcare providers, insurance companies
Primary FocusIdentifying and recovering overpaid healthcare claimsAuditing healthcare records and billing for compliance

The main difference is that a Remote Recovery Audit Contractor primarily focuses on recovering overpaid healthcare claims through audits, while a Remote Healthcare Auditor reviews healthcare records and billing for compliance and accuracy. Both roles require healthcare industry knowledge and certifications but serve different functions within healthcare finance and compliance.

What are Remote Recovery Audit Contractors?

Remote Recovery Audit Contractors are professionals or firms hired to review financial transactions, such as medical claims or vendor payments, to identify and recover overpayments or incorrect payments. They work remotely, using specialized software and data analysis techniques to audit large volumes of records for potential errors or discrepancies. These contractors are commonly used by healthcare organizations, insurance companies, and government agencies to ensure compliance and recover lost funds. Their findings can help organizations improve their payment processes and prevent future mistakes.

What are the key skills and qualifications needed to thrive as a Remote Recovery Audit Contractor, and why are they important?

To thrive as a Remote Recovery Audit Contractor, you need expertise in healthcare claims auditing, knowledge of Medicare/Medicaid regulations, and a relevant degree such as in health information management or accounting. Familiarity with audit software, medical coding systems (like ICD-10 and CPT), and data analysis tools is typically required. Strong analytical thinking, attention to detail, and effective written communication are essential soft skills for identifying discrepancies and reporting findings. These skills are crucial for ensuring accuracy in claim reviews, detecting improper payments, and supporting compliance in remote healthcare environments.
What job categories do people searching Remote Recovery Audit Contractor jobs in Arizona look for? The top searched job categories for Remote Recovery Audit Contractor jobs in Arizona are:
What cities in Arizona are hiring for Remote Recovery Audit Contractor jobs? Cities in Arizona with the most Remote Recovery Audit Contractor job openings:
Premium Recovery Analyst

Premium Recovery Analyst

Berkley

Scottsdale, AZ โ€ข On-site, Remote

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 24 days ago


Job description

Company Details

As an elite Excess and Surplus Lines market, Nautilus Insurance Group offers commercial property and casualty insurance solutions to appointed wholesale surplus lines producers countrywide. We have specialized in providing these solutions for more than 35 years.

We have more flexible policy terms and premium rates on a non-admitted basis. Our focus is small to medium Property and Casualty risks on both an admitted and a non-admitted basis.

Our offerings are distributed through partnerships with appointed wholesale surplus lines producers. Our relationships are defined by mutual success, speed to market, customer-centric focus and an expanded appetite.

Coverage placed by Nautilus Insurance Group is provided by Nautilus Insurance Company and Great Divide Insurance Company, both W. R. Berkley Corporation members with A.M. Best (Superior) A+ XV ratings.

Benefit Highlights:ย 

  • Paid Parental Leave! At Nautilus, we offer Childbirth Recovery Leave as well as Primary Caregiver Leave, for up to a maximum of 12 weeks of paid leave.
  • Nautilus offers Medical, Dental, and Vision coverage options, along with Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA) choices
  • We help our employees feel secure by providing a 401(k) program, profit sharing, stock purchase plan, life insurance, and travel accident insurance options.ย 
  • One of our core values is "Committed to Serve" and these aren't idle words. We provide every employee one paid day off per year to volunteer at a local charity. That's serving with a smile!
  • We take risk management excellence and your professional growth seriously by offering Tuition Assistance and Industry-Related Education and Exam programs.
  • Can you hear us now?ย  Employees are eligible for special cell phone service discounts with Verizon and AT&T. We've got a plum position for you! We participate in the Plum Benefits program offering employees cost-free access to thousands of exclusive travel and entertainment discounts.
  • Flexible work arrangements
  • On site newly renovated fitness center - free to use for employees.ย  Yoga and other classes available for a nominal fee.
Responsibilities

Nautilus Insurance Group is seeking a Premium Recovery Analyst to join our team in our Scottsdale, AZ headquarters.ย 

This role is located in our Scottsdale AZ on a hybrid schedule - four days in the office, one day remote.

The Premium Recovery Analyst's primary responsibility is to work directly with the insureds to recover outstandingย  Premium Audit and Deductible balances in a customer service focused environment.ย 

Additional responsibilities include:

  • Support the overall managementย of Nautilus Premium Audit billing inventory, including ensuring all bills are received by agents, coordinating payment arrangements, track agent collection activities to ensure all deadlines are met as well reviewing files for external collection
  • Establishes and maintains a professionalย relationship when contacting insureds and/or general agents for payment resolution; all calls/e-mails to be performed in a polite, professional and courteous manner
  • Drive collection of delinquent premium audit and deductible balances while demonstrating a high level of judgment in collecting; balance the need to collect while fostering a strong customer relationship
  • Effectively handle high volume of inbound and outbound insured and agent calls
  • Partner with insureds and agents to establish payment arrangements to rectify past due A/R balances.
  • Investigate and resolve complex billing issues with payments, cash application, reconciliations and system-related issues through collaboration with cross functional teams
  • Effectively use problem solving skills to address and resolve insured premium audit disputes
  • Prepare, assign and reconcile audit and deductible files turned over to an outside collection agency
  • Perform full-cycle agency account billing, including but not limited to reconciling & allocating cash receipts, processing agent payments, and answering AR inquiries
  • Create and monitor monthly reports to present to management
  • Interacts with team-members to encourage and foster a positive work environment
Qualifications
  • High School diploma or GED equivalent required. 2 years insurance-related experience or training to include basic knowledge of insurance policy and premium transactions is a plus.
  • College degree in Business Administration, Finance or Accounting preferred.
  • Completion of general insurance courses or general accounting courses preferred.
  • Must have a strong customer service background, working in a fast-paced professional environment.
  • Must have knowledge and basic proficiency of computer programs in a Windows environment, including Word, Excel and E-mail.
  • Sound judgment and decision-making skills.
  • Ability to apply common sense understanding to carry out the instructions furnished in written, oral or diagram form.
  • Ability to define problems, collect data, establish facts and draw valid conclusions.
  • Ability to handle confidential information.
Additional Company DetailsThe Company is an equal employment opportunity employer. We do not accept any unsolicited resumes from external recruiting agencies or firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.Additional RequirementsLocation and Travel: Scottsdale, AZ.Sponsorship DetailsSponsorship not Offered for this RoleEmployment Type: OTHER