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Remote Recovery Audit Jobs in Florida (NOW HIRING)

Davies

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

MCI Careers

Call Center Collections Manager

Tampa, FL · Remote

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 ...

MCI Careers

Call Center Collections Manager

Tampa, FL · Remote

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 ...

ARC Group

Cybersecurity Engineer

Jacksonville, FL · Remote

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 ...

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Remote Recovery Audit information

What is a remote recovery audit?

A Remote Recovery Audit is a process where professionals review a company's financial transactions and records from a remote location to identify and recover lost revenue due to overpayments, duplicate payments, or compliance errors. This type of audit is typically performed using secure digital tools and software, allowing auditors to access necessary data without being physically present at the client site. Remote recovery audits are widely used in industries such as healthcare, retail, and finance to ensure financial accuracy and recover funds that might otherwise be missed.

What are the key skills and qualifications needed to thrive as a remote recovery audit professional?

To excel as a Remote Recovery Audit professional, you typically need a background in finance, accounting, or healthcare administration, with expertise in auditing and claims analysis. Familiarity with audit management software, claims processing systems, and data analysis tools is crucial, and certifications like Certified Professional Medical Auditor (CPMA) or Certified Internal Auditor (CIA) can be advantageous. Strong attention to detail, analytical thinking, and effective communication are important soft skills for identifying discrepancies and collaborating with teams remotely. These qualifications ensure accurate recovery of funds, compliance with regulations, and efficient resolution of discrepancies in a remote work environment.

What are some common challenges faced by professionals in a remote recovery audit role, and how can they be addressed?

Professionals in Remote Recovery Audit often encounter challenges such as managing large volumes of transactional data, ensuring accuracy while working independently, and communicating effectively with clients or internal teams across different time zones. To address these challenges, it’s important to develop strong organizational skills, leverage audit software and automation tools, and establish regular check-ins with team members. Additionally, maintaining clear documentation and following established audit protocols can help mitigate errors and streamline the recovery process.

What is the difference between Remote Recovery Audit vs Remote Accounts Payable Specialist?

AspectRemote Recovery AuditRemote Accounts Payable Specialist
CertificationsCPA, Certified Recovery AuditorAP Certification, Microsoft Office skills
Work EnvironmentRemote, audit firms, healthcare, insuranceRemote, finance departments, corporate offices
Industry UsageHealthcare, insurance, governmentRetail, manufacturing, corporate finance
Job FocusIdentifying overpayments, recovering fundsProcessing 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 most commonly searched types of Recovery Audit jobs in Florida?

The most popular types of Recovery Audit jobs in Florida are:

What are popular job titles related to Remote Recovery Audit jobs in Florida?

For Remote Recovery Audit jobs in Florida, the most frequently searched job titles are:

What job categories do people searching Remote Recovery Audit jobs in Florida look for?

The top searched job categories for Remote Recovery Audit jobs in Florida are:

What cities in Florida are hiring for Remote Recovery Audit jobs?

Cities in Florida with the most Remote Recovery Audit job openings:

Remote Recovery Audit jobs near you

Director, Post Pay Audit

Cooper City, FL • Remote

Health Business Solutions LLC
Health Care and Social Assistance • 51 - 200 employees
Learn more about Health Business Solutions LLCexternal

Full-time

Re-posted 14 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.

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