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$60.3k - $145.86k
...critical role will serve as a key financial lead supporting the Medicare Part D and SilverScript Organization. Primary responsibilities... ...requirements including; several round of non-benefit expense (NBE), audit requests, Worksheet 1 and other ad hoc bid requests....SuggestedHourly payFull timeTemporary workWork experience placementLocal areaFlexible hours$25k
...decision‑making; and remain available during operating hours for clinical support. Ensure clinical documentation, audits, and billing meet Medicare, payer, and company standards; monitor case management quality and outcomes. Participate in hiring, training, performance...SuggestedFull timeTemporary workApprenticeshipWork at officeFlexible hours- ...0 largest Medicaid health plans and the largest not-for-profit Medicare‑Medicaid plan in the country. In its 29th year, IEHP supports nearly... ...facilities, payroll, accounting/treasury operations, internal auditing, risk insurance management, and purchasing including the...Suggested
ASSOCIATION FOR COMMUNITY AFFILIATED PLANS
Washington DC1 day ago - ...will: Assist in the preparation and analysis of the annual Medicare Cost Report, New Jersey SHARE report, and DSH survey for timely... ...auditor to request and discuss related issues. Incorporate audit adjustment into current year analysis and analyze audit settlement...SuggestedFull timeWork experience placementWork at officeHome officeShift work
- ...A certified public accounting firm seeks a skilled professional for a Mid-Senior level role focusing on audit engagement leadership. Responsibilities include supervising staff, ensuring quality deliverables, and mentoring team members. Candidates should have at least 6...Suggested
Myers and Stauffer
Baltimore, MD2 days ago - ...Medicare Cost Reporting Auditor The Medicare Cost Reporting Auditor is a full time remote position working 8:00 to 5:00. What You... ...internal and external timely operational, compliance, and financial audits of divisions, departments, providers, and activities of the...SuggestedFull timeFor contractorsWork experience placementWork at officeLocal areaRemote work
- ...Auditor Position Responsible for providing a full range of financial, compliance, and operational audits, business advisory and consultation services, investigations, internal controls, accountability, and use of resources. This position is a full-time remote position...SuggestedFull timeFor contractorsWork experience placementSecond jobWork at officeLocal areaRemote workMonday to Friday
- ...Insurance Billing Specialist Supports the delivery of all insurance billing services by final/higher level auditing, correcting, and submitting claims. Ensures that billing services are timely, accurate, and allow for appropriate reimbursement. Conducts all claims-...SuggestedWork at office
- ...Auditor III, Medicare Responsible for providing a full range of financial, compliance, and operational audits, business advisory, and consultation services, investigations, internal controls, accountability, and use of resources. The Medicare Auditor III position...SuggestedFull timeFor contractorsWork at officeLocal areaRemote workMonday to Friday
- ...Responsibilities Lead and conduct cost report/DSH audits and perform final audit reviews of Medicaid cost reports and DSH... ...relating to Medicaid reimbursement and maintain compliance with Medicare and Medicaid regulations. Coordinate staffing on projects to...Suggested
Myers and Stauffer
Tallahassee, FL3 days ago $50k - $60k
...delivering services to our 125,000 members enrolled in Commercial, Medicare and Medicaid products. Our MSO employs 200+ skilled... ...successful Garden City Team? We are currently seeking a Claims Audit Coordinator in our Garden City Office! Position Summary: The...SuggestedHourly payFull timeWork at officeLocal areaHealthCare Partners of Nevada
Garden City, NY1 day ago- ..., strategy, and market analysis issues. Areas of focus include Medicare, Medicaid, commercial insurance, worker’s compensation, and clinical... ...and responsibilities: Perform remote billing and coding audits to ensure client coding practices are compliant with...SuggestedWork at officeLocal areaRemote work
Marwood Group
New York, NY2 days ago $120k - $150k
...based work (ASC 606). Monitor cash flow , expenses, accruals, and capitalization of software development costs. Compliance, Audit & Tax Ensure compliance with GAAP , state and federal reporting requirements, and company financial policies. Oversee tax...SuggestedContract workRemote workFlexible hoursCyberhill Partners
Austin, TX3 days ago$19.05 per hour
...Appeals Claims Representative responds to requests for first-level appeals. Reviews and compares processed claims with edit/audit detail and Medicare Policy. Refers cases to appeal nurses for medical necessity determination. Reviews medical documentation and claims...SuggestedRemote workMonday to FridayFlexible hoursShift work$25 per hour
...speed, accuracy, and integrity, ensures that enrollee data for Medicare Advantage, Medicare Supplement, NaviCare, Summit Elder Care, Fallon... ...for ensuring timely and thorough eligibility and premium audit procedures are in place and being performed through direct performance...SuggestedHourly payWork at officeLocal area- ...varied fiscal administrative support functions such as analyzing Medicare Coverage Analysis documents, developing comprehensive internal... ...the Quality Assurance Department. Assume responsibility for audit preparedness activities for OHRI RBS. Implements and executes standards...Contract workWork at officeLocal areaShift work
$106.9k - $147k
...of bids to support Humana's pricing and product development of Medicare Advantage and Prescription Drug Plans that positively impact the... ...risk associated with the bid filing. Participate in CMS audits and reviews related to Humana's Medicare bids. Create and maintain...Full timeTemporary workRemote workMaryland Staffing
Annapolis, MD14 hours ago- ...and investigative leads of potential fraud investigations (e.g. Medicare and/or Medicaid) that meet established criteria for referral to... ...information upon receipt, and incorporates findings into audit/investigation file to ensure thorough audit/investigation files...For contractorsWork experience placement
- ...care, homecare, and hospice care to the chronically-ill, Medicaid/Medicare-eligible population. Our innovative healthcare delivery model... ...review. Provide support for management inquiries and audit requests as they arise. Position open to growth as process improvement...Weekly pay
$71.1k - $97.8k
...least one of these qualifications for 4 years) MS-DRG coding/auditing experience Experience reading and interpreting claims... ...efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and...Bi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to FridayNew Mexico Staffing
Carson City, NV4 days ago$25.78 per hour
...Patient Information on Advance Directives, Important Message from Medicare, and California Observation Notice. Possesses knowledge of... ...patients when needed. Performs quality checks, reports, audits, note-taking, and other clerical tasks for department when requested...TraineeshipLocal areaAll shiftsShift workNight shiftWeekend workAfternoon shift$71.1k - $97.8k
...IT Audit Professional 2 Become a part of our caring community and help us put health first. The IT Audit Professional 2 develops,... ...efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and...Full timeTemporary workWork at officeRemote work$80k - $100k
...toward our next milestone by identifying overhead efficiencies and revenue opportunities. Compliance & Risk: Manage insurance audits (Workers Comp/GL), lien waivers, and subcontractor documentation. Qualifications Experience: 5+ years of financial...For contractorsFor subcontractorPurpose Driven Restoration llc
Big Lake, MN3 days ago$85k - $144.1k
...programs, including Medicaid Drug Rebate Program (MDRP), 340B, Medicare Part B/D, and the Veterans Affairs (VA)/Department Of Defense (... ...validating, and reporting government pricing metrics and support audits, policy updates, and strategic initiatives related to GP....Contract workWork experience placementLocal areaRelocationVisa sponsorshipFlexible hoursShift work$18.5 - $24.92 per hour
...trends in healthcare, combining an insurance role (we are the Medicare/Medicaid insurer for our participants) with a comprehensive healthcare... ...to for specialty medical care. They will assist in the auditing of regulatory data and be part of the team to problem solve issues...Hourly payFull timeLocal areaShift workDay shiftTrinity Health
Schenectady, NY1 day ago- ...pathology and occupational therapy staff and contractors for the Medicare certified hospice agency. This oversight must include the... ...maintained appropriately; oversees clinical record review and chart audits and maintenance of medical supplies. Participates with the...Contract workFor contractorsWork at office
Sprenger Healthcare
Lorain, OH3 days ago $65k - $88.6k
...Follows established guidelines/procedures. Perform desktop audits targeting potential pharmacy waste and error. Review prescription... ...& Federal laws and regulations pertaining to health insurance (Medicare, Medicare Advantage, Medicare Part D, Medicaid, Tricare,...Full timeTemporary workWork at officeLocal areaRemote work- ...assists with the oversight of safety and infection control, chart audits, and medical supplies. Assures medical records are maintained... ...disciplines function according to licensure, state law and Medicare standards. Assist with coverage for the Director of Operations...Full timeFor contractorsLocal areaImmediate startShift workWeekend workAfternoon shift
Otterbein SeniorLife
Cincinnati, OH4 days ago $34.61 per hour
...business proficient in English You’ll excel as a Finance & Accounting Analyst if you: Possess knowledge of accounting, finance, audit, and tax principles Have effective analytical, critical thinking, and problem solving skills Have a strong commitment to...Hourly payFull timeSummer workInternshipSummer internshipWork at officeWorldwideRelocation packageMonday to FridayFlexible hoursShift workPIMCO
Newport Beach, CA3 days ago$59.3k - $80.9k
...tailored to each assigned provider. Will report to the Manager, Medicare Risk Adjustment. The Coding Educator 2 will be: Arrange... ...compliance with internal and external standards. Analyze coding audit results and other relevant data to develop data-driven...Bi-weekly payFull timeTemporary workApprenticeshipLive inWork at officeRemote workWork from homeHome office
