... medical revenue recovery audit teams across both onshore (U.S.) and offshore (Philippines ... HBiz complies with all applicable employment laws for remote and multi-state hiring and provides ...
... medical revenue recovery audit teams across both onshore (U.S.) and offshore (Philippines ... HBiz complies with all applicable employment laws for remote and multi-state hiring and provides ...
This position is 100% remote with preference given to candidates in the Jacksonville, FL or ... Audit, Compliance, and Documentation Support -- 10% * Provide evidence and documentation for ...
This position is 100% remote with preference given to candidates in the Jacksonville, FL or ... Audit, Compliance, and Documentation Support -- 10% * Provide evidence and documentation for ...
Manager, Post-Pay Audit Job Summary: We are seeking a detail-oriented and driven Post-Pay Audit ... recovery. * At least 2 years in a supervisory or team lead role , preferably with remote or ...
Manager, Post-Pay Audit Job Summary: We are seeking a detail-oriented and driven Post-Pay Audit ... recovery. * At least 2 years in a supervisory or team lead role , preferably with remote or ...
... 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 ...
Assists Disaster Recovery planning, design, implementation and exercises on security technology ... or audits Provide training to others on security capabilities, processes, procedures and ...
Quick apply
Assists Disaster Recovery planning, design, implementation and exercises on security technology ... or audits Provide training to others on security capabilities, processes, procedures and ...
Remote ???? Location Requirement: Must reside in an approved state (FL, GA, PA, NC, SC, TN, or ... audits and compliance reviews * Identifies root causes of denials, tracks trends, and escalates ...
Remote ???? Location Requirement: Must reside in an approved state (FL, GA, PA, NC, SC, TN, or ... audits and compliance reviews * Identifies root causes of denials, tracks trends, and escalates ...
Database Administrator
Tampa, FL · 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 ...
Database Administrator
Tampa, FL · 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 ...
Remote ???? Location Requirement: Must reside in an approved state (FL, GA, PA, NC, SC, TN, or ... Assists with investigations and audits to identify, correct, trend, and report charging, coding ...
Remote ???? Location Requirement: Must reside in an approved state (FL, GA, PA, NC, SC, TN, or ... Assists with investigations and audits to identify, correct, trend, and report charging, coding ...
... EDR), Remote Monitoring and Management (RMM), and cloud environments. * Cloud & Tenant Security ... Map, audit, and control the flow of Controlled Unclassified Information (CUI) and Federal Contract ...
... EDR), Remote Monitoring and Management (RMM), and cloud environments. * Cloud & Tenant Security ... Map, audit, and control the flow of Controlled Unclassified Information (CUI) and Federal Contract ...
Database Administrator
Tampa, FL · On-site +1
$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 ...
Database Administrator
Tampa, FL · On-site +1
$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 ...
P&C Liability Supervisor
Jacksonville, FL · On-site +1
$82K - $92K/yr
Remote, FL Reporting To: Chris Lewis Compensation: $82,500 - $92,500 / year Description Our Story ... Recovery opportunities * Subrogation and excess recovery * Reserve adequacy * Settlement authority
New
P&C Liability Supervisor
Jacksonville, FL · On-site +1
$82K - $92K/yr
Remote, FL Reporting To: Chris Lewis Compensation: $82,500 - $92,500 / year Description Our Story ... Recovery opportunities * Subrogation and excess recovery * Reserve adequacy * Settlement authority
New
This is a remote role, with a strong preference for candidates located in the Midwest, with heavy ... Support audits, partner quality initiatives, and lessons-learned programs. Customer & Stakeholder ...
This is a remote role, with a strong preference for candidates located in the Midwest, with heavy ... Support audits, partner quality initiatives, and lessons-learned programs. Customer & Stakeholder ...
Our contact centers are powered by both on-site and remote agents, leveraging advanced technologies ... This role is responsible for managing collections teams, driving recovery performance, and ensuring ...
Our contact centers are powered by both on-site and remote agents, leveraging advanced technologies ... This role is responsible for managing collections teams, driving recovery performance, and ensuring ...
Our contact centers are powered by both on-site and remote agents, leveraging advanced technologies ... This role is responsible for managing collections teams, driving recovery performance, and ensuring ...
Quick apply
Our contact centers are powered by both on-site and remote agents, leveraging advanced technologies ... This role is responsible for managing collections teams, driving recovery performance, and ensuring ...
This position is 100% remote working eastern time zone business hours. This is starting out as a ... Support disaster recovery planning, design, and implementation for security technologies. * Perform ...
Quick apply
This position is 100% remote working eastern time zone business hours. This is starting out as a ... Support disaster recovery planning, design, and implementation for security technologies. * Perform ...
Candidates must have experience working with state and/or local recovery programs with knowledge of ... assessing audit readiness, compliance and administrative gaps. Support clients in expediting ...
Candidates must have experience working with state and/or local recovery programs with knowledge of ... assessing audit readiness, compliance and administrative gaps. Support clients in expediting ...
Candidates must have experience working with state and/or local recovery programs with knowledge of ... assessing audit readiness, compliance and administrative gaps. Support clients in expediting ...
Candidates must have experience working with state and/or local recovery programs with knowledge of ... assessing audit readiness, compliance and administrative gaps. Support clients in expediting ...
Candidates must have experience working with state and/or local recovery programs with knowledge of ... assessing audit readiness, compliance and administrative gaps. Support clients in expediting ...
Candidates must have experience working with state and/or local recovery programs with knowledge of ... assessing audit readiness, compliance and administrative gaps. Support clients in expediting ...
Candidates must have experience working with state and/or local recovery programs with knowledge of ... assessing audit readiness, compliance and administrative gaps. Support clients in expediting ...
Candidates must have experience working with state and/or local recovery programs with knowledge of ... assessing audit readiness, compliance and administrative gaps. Support clients in expediting ...
Candidates must have experience working with state and/or local recovery programs with knowledge of ... assessing audit readiness, compliance and administrative gaps. Support clients in expediting ...
Candidates must have experience working with state and/or local recovery programs with knowledge of ... assessing audit readiness, compliance and administrative gaps. Support clients in expediting ...
Remote Recovery Audit information
What is a Remote Recovery Audit?
What is the difference between Remote Recovery Audit vs Remote Accounts Payable Specialist?
| Aspect | Remote Recovery Audit | Remote Accounts Payable Specialist |
|---|---|---|
| Certifications | CPA, Certified Recovery Auditor | AP Certification, Microsoft Office skills |
| Work Environment | Remote, audit firms, healthcare, insurance | Remote, finance departments, corporate offices |
| Industry Usage | Healthcare, insurance, government | Retail, manufacturing, corporate finance |
| Job Focus | Identifying overpayments, recovering funds | Processing invoices, managing payments |
Remote Recovery Auditors focus on reviewing financial transactions to recover overpaid funds, often requiring audit certifications. Remote Accounts Payable Specialists handle invoice processing and payment management, typically with finance certifications. While both roles are remote and finance-related, their core functions and industry applications differ significantly.
What are the key skills and qualifications needed to thrive as a Remote Recovery Audit professional, and why are they important?
What are some common challenges faced by professionals in a Remote Recovery Audit role, and how can they be addressed?
Full-time
Re-posted 16 days ago
Job description
Job Summary:
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 leader will be responsible for overseeing the execution of comprehensive post-payment audits across commercial and government payers (Medicare, Medicaid, TRICARE, etc.), ensuring compliance, accuracy, and maximum revenue recovery for healthcare provider clients.
The ideal candidate brings deep knowledge of healthcare reimbursement policies, government audit programs (e.g., RAC, UPIC, MAC), and a proven ability to lead cross-functional and cross-cultural teams at scale.
Key Responsibilities:
- Lead and manage the end-to-end post-pay audit function, including planning, execution, quality assurance, and reporting.
- Direct and support a global team of audit professionals, ensuring productivity, accuracy, and compliance across both U.S.-based and Philippines-based operations.
- Oversee audit processes related to government payers and regulatory programs (e.g., CMS RAC, Medicaid Integrity Program, etc.).
- Establish and refine audit workflows, KPIs, and escalation protocols to optimize audit yield and recovery timelines.
- Collaborate with compliance, legal, and analytics teams to identify audit opportunities and mitigate risk.
- Serve as the subject matter expert for payer audit guidelines, CMS regulations, and state-specific requirements.
- Build strong relationships with internal stakeholders and clients to align audit strategies with broader revenue recovery goals.
- Develop and execute training programs and professional development plans for onshore and offshore audit staff.
- Ensure adherence to internal quality standards, HIPAA regulations, and client-specific SLAs.
- Analyze audit outcomes and present regular performance and risk reports to senior leadership.
Qualifications:
- Bachelor’s degree in Healthcare Administration, Business, Finance, or related field required; Master’s or MBA preferred
- Minimum of 7–10 years of experience in post-payment auditing, healthcare reimbursement, or revenue recovery
- Proven experience managing global teams, including operations based in the Philippines
- Strong knowledge of government audit programs (RAC, MAC, CERT, ZPIC/UPIC, Medicaid audits)
- Excellent understanding of healthcare billing, coding (ICD-10, CPT, HCPCS), and payer policies
- Demonstrated ability to lead process improvement initiatives in large-scale audit operations
- High proficiency with audit and recovery systems, reporting tools, and workflow platforms
- Strong communication, leadership, and analytical skills
- Certification in auditing, billing, or compliance (e.g., CPMA, CPC, CHC) is a plus
Health Business Solutions (HBiz) is an Equal Opportunity Employer. We are committed to providing equal employment opportunities to all employees and applicants without regard to race, color, religion, sex (including pregnancy, sexual orientation, or gender identity), national origin, age, disability, genetic information, veteran status, or any other status protected by applicable federal, state, or local law.
HBiz complies with all applicable employment laws for remote and multi-state hiring and provides reasonable accommodations as required by law.
About Health Business Solutions
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
51 - 200 Employees
Headquarters location
Cooper City, FL, US
Year founded
2002