Revenue Cycle Auditor: Optimize Billing & Claims
Stance Health Solutions, Inc
Stance Health Solutions, Inc is seeking a Revenue Cycle Auditor to manage the revenue cycle, submit claims, and analyze denials. You will work with payers and internal teams to improve cash flow and ensure HIPAA-compliant processes. Strong analytical skills and Excel experience are required. Responsibilities include reviewing claims, auditing accounts, coordinating with providers, and reporting on KPIs to drive improvements in denial rates and time to payment. #J-18808-Ljbffr Stance Health Solutions, Inc
- Description Revenue Cycle Auditor Position Overview The Revenue Cycle Auditor is responsible for... ...responsibilities include processing and submitting claims to insurance companies and patients,... ..., ensuring accuracy in coding and billing information to minimize denials and...ClaimsFlexible hours
- Stance Health Solutions is seeking a Revenue Cycle Auditor to manage the revenue cycle, submit and follow up on insurance claims, and resolve payer discrepancies. The role involves analyzing accounts receivable, identifying denial patterns, and coordinating with providers...Claims
- ...general supervision of the Director of Revenue Cycle Operations, the Revenue Cycle Specialist... ...follow-up work queues. Resolve patient billing and insurance concerns received via voicemail... ...needed to resolve denials and pending claims. Generate patient correspondence to be...ClaimsWork at office
$46.99k - $122.4k
...Position Summary The Program Integrity Auditor is responsible for the review of records... ...education, recoupment of funds or rebilling of claims, and referral to state regulators for any... ...are met and recognize any concerning billing patterns or trends. Primary Responsibilities...ClaimsHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hours- Pacific Health Group is seeking a Clubhouse Billing Analyst to own the end-to-end revenue cycle for Clubhouse Services claims in California. The role focuses on translating daily member attendance into compliant claims, managing eligibility, denials, and reconciliation,...ClaimsRemote job
- ...Agents automating patient and revenue workflows, and autonomous RCM processing billions in claims, all on a single AI-native platform... .... About the Role The Revenue Cycle Management (RCM) Product Team... ...monitoring, logging, and alerting Optimize performance and scalability of...ClaimsImmediate start
$110.4k - $138k
Fuze Health in California is seeking a Head of Billing and Collections to oversee billing operations and a dedicated team. This role ensures accurate claim submissions and revenue cycle management while fostering compliance with regulations. The ideal candidate has over...Claims- ...professional in California, Missouri. This role involves completing various audits, maintaining accounting systems, and tracking daily revenues. Candidates should have a high school diploma and two years of audit experience, alongside strong attention to detail. The...
- ...from procedures and/or iC’s found in daily Audits. Maintain Credit card terminal reports and statements Report and maintain daily revenues from all outlets Complete Complimentary Allocation Process advance payments for Banquet events Maintain Micros reports Maintain all...Local areaNight shift
- We are seeking a highly skilled Full-Cycle Medical Biller with extensive experience in U.S. healthcare billing, particularly within California insurance systems. This role... ...of the end-to-end billing cycle, including claim submission, payment posting, accounts receivable...ClaimsPermanent employmentRemote work
- ...Points by Sheraton Kelowna Airport and Hampton Inn & Suites Kelowna Airport are seeking a Permanent Full-Time Income Auditor to oversee daily revenue audit functions and ensure accurate revenue reporting. You will prepare journal entries and verify postings across hotel...Permanent employmentFull time
- ...Requirements 8-10+ years in healthcare revenue cycle operations, with progressive AR responsibilities... ..., AR best practices, and healthcare billing regulations. Demonstrated success... ...proficiency in Epic RCM modules, insurance claim adjudication, and AR follow-up processes...
- ...Agents automating patient and revenue workflows, and autonomous RCM processing billions in claims, all on a single AI-native platform... ...Role At Commure, our Revenue Cycle Management (RCM) Core team is... ...and manage every rule engine (billing rules, pre-submission validation...ClaimsWork at officeImmediate start
- CVS Health is seeking a Program Integrity Auditor to review medical, behavioral, transportation, and other provider records for correct... ...providers and recover funds. Candidates need 3-5 years in claims data review and coding, plus active CPC/CCS/CPMA certification....ClaimsFull time
- ...Project Manager is responsible for overseeing a contents restoration job (insurance claim) from start to finish. They schedule and manage field service work, track contents, oversee the billing and collection process, and communicate with estimators, adjusters and customers...Claims
- Responsibilities The Claims Manager supports Live Nation's operations and has primary responsibility for managing liability claims in... ...to client‑service instructions, litigation guidelines, billing guidelines, and any other necessary documents or guidelines. Manages...ClaimsWork at office
- ...improvement. They will support optimizing multimillion annual asset... ...assets, and facility supports revenue growth and service excellence... ...prevention programs and support claims resolution. Capital Equipment... ..., aligning replacement cycles with depreciation schedules,...ClaimsRelocationHome office
$20.5 - $22.5 per hour
...communication Guide new clients through Myo’s services with clear, confident messaging Manage and optimize clinic schedules, bookings, and waitlists Accurately handle billing, claims, invoices, and client documentation Keep the clinic clean, stocked, and running smoothly...ClaimsShift work$88.85k
...communities and residents and to support the safety net required to achieve that purpose. Job Summary The Financial Compliance Auditor III Claims is responsible for audits of claims processed by Delegated Participating Physician Groups (PPGs), hospitals and health plans...Claims- ...Cross-functional coordination with intake, billing, and operations to remove friction Core... ...Referral Pathways Integrate into MCO and claims workflows (OneCall, Optum, etc.) Remove friction... ...territory performance and continuously optimize approach Workers’ Compensation Sales...Claims
- ...business objectives. InsureMO Platform Lead the implementation, customization, and optimization of the InsureMO platform. Design solutions supporting policy administration, claims management, billing, and distribution channels. Ensure seamless integration between InsureMO and...ClaimsPermanent employmentPart timeRemote work
- ...leading healthcare provider is seeking a Certified Medical Coding Auditor (CPC or CCS-P) in Bakersfield. This full-time role involves... ..., providing regulatory education, and ensuring compliance with billing standards. The ideal candidate will have an active certification...Full time
$200k - $235k
...and retrospective review, Shared Medical Bills (SMB) clinical review, appeals support, and... ...requirements, configure workflows, and optimize utilization management operations. Drive... ...ability to interpret utilization trends, claims data, clinical review data, and...ClaimsFull time$23.7 - $29 per hour
...Specialist is responsible for submitting claims to the appropriate intermediaries and to... ...identify and resolve issues that hinder optimal and correct account payment. Utilizes and... ...EDUCATION, EXPERIENCE, TRAINING 1. Previous Billing Experience within a hospital Business...ClaimsFull timeWork at officeLocal areaShift work- ...patient accounts. Request approval for write-offs of unpaid claims with no re-bill capabilities, escalating issues as needed. Identify and... ...for their mileage at the current rate set by the Internal Revenue Service. To receive mileage reimbursement, the employee must...ClaimsWork experience placementWork at officeLocal area
$23.23 - $26.49 per hour
...Responsibilities The Biller is responsible to bill all insurance companies, workers’... ...billing errors. Able to identify stop loss claims, implants and missing codes. Maintains proficiency... ...experience Knowledge of CPT, HCPCS, and Revenue Code structures Effective written and...ClaimsFull timeLocal areaShift work$153k - $229k
...offerings. Measure, analyze, and optimize GTM campaign performance to... ...understanding of enterprise buying cycles, persona dynamics, and value-... ...that impact pipeline and revenue growth. Basic Qualifications 1... ...scams where individuals falsely claim to represent Zendesk. These...ClaimsWork at officeLocal areaRemote workWorldwideHome office- ...Special Programs to determine if claims for reimbursement conform to... ...and result in maximum revenue collection. Prepares Medicare... ...Develops, monitors and adjusts billing rates to reflect cost changes... ...departmental administration and by the Auditor-Controller when necessary....ClaimsPermanent employmentContract workLocal area
- ...Job Description Our company provides billing services to hospice providers and we are looking for a motivated and reliable individual... ...procedures for hospice providers, including: NOE filing, submission of claims, correction of claims, appeals, and other Medicare billing...ClaimsFull timeMonday to Friday
$25 - $32 per hour
...countries and have grown from $38 million to $4.3 billion in revenue in just over ten years. Our culture is defined by our... ..., emails, etc. to obtain information for endorsements, claim reporting and follow-ups, billing questions, audits, certificates, cancellations, and...ClaimsImmediate startFlexible hours
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