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Remote Recovery Audit Contractor Jobs in Arizona

CR EXECUTIVE DIRECTOR

Phoenix, AZ · On-site +1

$120K - $150K/yr

All work, including remote work, should be performed within Arizona unless an exception is properly ... contracting programs of benefitting Arizona Cotton Growers and associated parties. In accordance ...

... contracting, and supplier management activities, which includes driving supply continuity, cost ... This role is a remote work arrangement with required residency in Arizona only. The day-to-day ...

... contracting, and supplier management activities, which includes driving supply continuity, cost ... This role is a remote work arrangement with required residency in Arizona only. The day-to-day ...

Ensures data integrity, accuracy and security across all HR systems through regular audits, quality ... Manage relationships with HRIS vendors, including ADP, contractors, support tickets and roadmap ...

Showing results 41-60

Remote Recovery Audit Contractor information

What is a remote recovery audit contractor?

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 skills and qualifications are needed to thrive as a remote recovery audit contractor?

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 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.

How are remote recovery audit contractors paid?

Remote recovery audit contractors are typically paid on a performance-based basis, earning a percentage of the recovered funds or overpayment amounts they identify. Payments are often made after successful recovery and may be structured as commissions or fees, depending on the contract terms and organization policies.

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:

BASE SERVICES SPECIALIST T32

Air National Guard Units

Phoenix, AZ • On-site, Remote

$64K - $83K/yr

Full-time

Posted 22 days ago


Air National Guard rating

8.3

Company rating: 8.3 out of 10

Based on 19 frontline employees who took The Breakroom Quiz

11th of 49 rated military and defense


Job description

Summary
THIS IS A NATIONAL GUARD TITLE 32 EXCEPTED SERVICE POSITION.
This National Guard position is for a BASE SERVICES SPECIALIST T32, PDD2241000and is part of the AZ 161st Air Refueling Wing, National Guard.
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Duties
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This position is located at the 161st ARW, Phoenix, Arizona. Its purpose is to analyze and coordinate Base Services functions in support of federal, state, and local missions. The incumbent serves as a point-of-contact for Services-related programs, missions, functions, activities, and events for the wing and its assigned geographically separated units (GSU).
DUTIES: (condensed)
Ensures Sustainment Services personnel and equipment mobility requirements are accomplished. Coordinates directly with squadron Unit Deployment Manager to ensure all readiness and ancillary requirements are complete. Provides oversight, analysis, and review of Services training requirements; consistent with Career Field Education and Training Plan (CFETP) and master training plan standards. Reviews Air Reserve Component Network (ARCNet), Air Force Training Records (AFTR), and/or other locally developed databases to verify required updates and training documentation is complete for each unit member. Collaborates with Unit Training and Deployment Managers to identify, schedule, conduct, and document Services specific training and align priorities with wing requirements to ensure all objectives are fulfilled. Identifies and forecasts Services formal training needs and provides related financial data for inclusion in financial plan. Provides input to local operating instructions, checklists, and annexes to plans.
Maintains thorough understanding of readiness reporting requirements and provides documentation of relevant sustainment services training statistics to applicable monitors for inclusion in associated reports. Systems include Status of Resource and Training System (SORTS), Air Expeditionary Force Reporting Tool (ART), and Defense Readiness Reporting System (DRRS). Ensures personnel and equipment readiness standards are achieved through development and implementation of home station training programs.
Analyzes historical data to develop subsistence requisitions in accordance with Air Force and Air National Guard standards. Submits approved requisitions through Subsistence Total Order Requisition Electronic System (STORES) web based application. Contacts Prime Vendor, Defense Logistics Agency, and Defense Finance and Accounting Service representatives to coordinate changes in requirements, modify subsistence catalogue, and correct errors or deficiencies related to food service program. Administers tracking mechanism to document purchase requests and expenditures. Maintains five-year equipment plan, identifies upcoming budgetary requirements, and conducts market research to prepare purchase requests in advance of execution.
Provides input into creation and revision of base lodging operating instruction and applicable checklists or guides. Coordinates with contracting officer to establish formal contracts or Blanket Purchase Agreements with local hotels or with host installation agencies to support non-commuting members. Accepts, coordinates, and tracks reservations consistent with wing policy and in accordance with Blanket Purchase Agreement stipulations and fiscal standards. Maintain accountability of members while using lodging. Facilitates required inspections with Contracting, Fire Department, Public Health, and other necessary representatives.
Serves as the subject matter expert for the base Mortuary Affairs Program. Provides relevant support documentation to Air Force and/or Air National Guard mortuary program manager for inclusion in mortuary case file or records. Prepares, provides, and tracks survivor assistance program training to wing leadership. Prepares and coordinates mortuary worksheet with Casualty Affairs Representative and National Guard Bureau. Implements Search and Recovery (S&R)/Fatality Search and Recovery Team (FSRT) training plan. Conducts inventory and validates requirements to coordinate procurement of supplies for the mortuary S&R kit IAW AFI 34-242 and Logistics Detail (LOGDET).
Oversees the verification of contract requirements, invoicing, and validation of contract completion requirements. Serves as the Quality Assurance Evaluator (QAE) performing quality management, quality assurance and quality control measures to include external and internal audit activities particularly associated with the acquisition and sustainment of Services facilities and equipment repair. Supervises small contract teams, remaining independent when exercising Contract QAE role. Manages the development and the coordination of the QAE program.
Oversees the development, management, and implementation of a variety of safety programs to ensure regulatory compliance as mandated by federal, state, and local agencies including Air Force, Occupational Safety and Health Administration (OSHA), and United States Department of Agriculture (USDA).
THIS IS A NATIONAL GUARD TITLE 32 EXCEPTED SERVICE POSITION.
Requirements
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Conditions of employment
  • ARIZONA AIR NATIONAL GUARD MEMBERSHIP IS REQUIRED. Prior to appointment into this position, selectee must be a current member of the Arizona Air National Guard, in a military position assigned to 161st ARW.
  • This is an excepted service position that requires membership in a compatible military assignment in the employing state's National Guard, required prior to the effective date of placement.
  • Selectee will be required to wear the military uniform.
  • Acceptance of an excepted service position constitutes concurrence with these requirements as a condition of employment.
  • Applicants who are not currently a member of the National Guard must be eligible for immediate membership and employment in the National Guard in the military grade listed in this announcement.
  • Males born after 31 December 1959 must be registered for Selective Service.
  • Federal employment suitability as determined by a background investigation.
  • May be required to successfully complete a trial period.
  • Participation in direct deposit is mandatory.
  • Incumbent must possess and maintain a current state driver's license.
  • Ability to establish effective professional working relationships with coworkers and customers, contributing to a cooperative working environment and successful accomplishment of the mission.
  • Irregular and/or overtime (compensatory) hours may be required to support operational requirements or contingencies or may be required to work hours outside of the normal duty day.
  • This position is covered by the Domestic Violence Misdemeanor Amendment (30 Sep 96) of the Gun Control Act (Lautenberg Amendment) of 1968. An individual convicted of a qualifying crime of domestic violence may not perform the duties of this position.

Qualifications
Military Grades: E3/A1C - E7/MSgt
Compatible Military Assignments: Must possess or be able to obtain AFSC 3F1X1
SPECIALIZED EXPERIENCE: Must possess at least 1 year specialized experience, education or training equivalent to the next lower grade level. Applicants must have experience providing technical guidance and assistance in the type of work or in comparable work of the position to be filled [See DUTIES]. Applicants must have a thorough knowledge and understanding of administrative procedures and practices of management. Experience developing administrative procedures.
Education
You must provide transcripts or other documentation to support your Educational claims. To receive credit for Education, you must provide documentation of proof that you meet the Education requirements for this position.
Additional information
If you are a male applicant who was born after 12/31/1959 and are required to register under the Military Selective Service Act, the Defense Authorization Act of 1986 requires that you be registered or you are not eligible for appointment in this agency (https://www.sss.gov/RegVer/wfRegistration.aspx).
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Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.
Benefits
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A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.
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Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.

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