Top 71 medicaid auditor Jobs in remote

Revenue Cycle Reimbursement Auditor
Titan Healthcare Management Solutions —Remote
- $20 - $25 an hour
- Full-time
- Remote
- Microsoft Excel
- Customer service
- Research
- Work from home
Quick Apply
Consultant - Healthcare Compliance Auditor - HTS
Berkeley Research Group, LLC —Remote
- $70,000 - $150,000 a year
- Full-time
- Remote
- Microsoft Excel
- Bachelor of Science
- Research
Supervisor - Audit/Investigation
Qlarant —Remote
- $66,285 - $100,432 a year
- Full-time
- Remote
- Bachelor's degree
- Senior level
1d
Healthcare Data Analyst / Algorithm Developer
RADcube —Remote
- Full-time
- Remote
- Computer science
- Computer Science
- SQL
Senior Internal Auditor
Humana —Remote
- $86,300 - $118,700 a year
- Full-time
- Remote
- CPA
- PMP
- Mid-level
- Paid parental leave
- Paid holidays
8d
Nurse Reviewer
Staffing Solutions Organization LLC —Remote
- $73,000 - $81,000 a year
- Full-time
- Remote
- Working with individuals with developmental disabilities
- Nursing
- Microsoft Outlook
- Paid holidays
- Health insurance
Quick Apply
Senior Associate - Healthcare Compliance Analyst - HTS
Berkeley Research Group, LLC —Remote
- $70,000 - $115,000 a year
- Full-time
- Remote
- Bachelor of Science
- Mid-level
- Office
SME - Medicaid Program Integrity and Claims Audits
BerryDunn —Remote
- $120,000 - $140,000 a year
- Full-time
- Bachelor of Science
- Research
- Analysis skills
- Dental insurance
Inpatient Medical Coding Auditor
Humana —Remote
- $71,100 - $97,800 a year
- 8 hour shift
- Remote
- Microsoft Excel
- Mid-level
- 3 years
- Paid jury duty
- Paid parental leave
Revenue Cycle Manager
Elevated Community Health —Remote
- $90,000 - $110,000 a year
- Full-time
- Computer literacy
- 3 years
- Bachelor's degree
- AD&D insurance
- Paid holidays
Quick Apply
8d
Inpatient Medical Coder
Health Partners Management Group, Inc. —Remote
- From $32 an hour
- Full-time
- Remote
- Background check
- Anatomy knowledge
- Research
- Continuing education credits
- Health savings account
Quick Apply
Account Resolution Representative
Children's Wisconsin —West Allis, WI
- Full-time
- Remote
- Anatomy knowledge
- HIPAA
- Research
- Flexible schedule
Claims Auditor- Remote
American Health Plans —Franklin, TN
- Remote
- Mid-level
- 2 years
- Paid holidays
- Disability insurance
Quick Apply
Internal Auditor I
Humana —Louisville, KY
- $53,700 - $72,600 a year
- Full-time
- Remote
- Microsoft Excel
- Office
- Bachelor's degree
- Paid parental leave
- Paid holidays
2d
Sr Manager, Post Pay Audit
Health Business Solutions LLC —Remote
- Remote
- 5 years
- Analysis skills
- Supervising experience
Healthcare Data Analyst
RAD CUBE LLC —Carmel, IN
- Remote
- Computer science
- Computer Science
- Mid-level
Senior Manager Auditing
Cohere Health —Remote
- $125,000 - $140,000 a year
- Remote
- Computer literacy
- English
- 3 years
- Paid parental leave
- Health savings account
Quick Apply
Information Systems Security Officer I (ISSO-1)
Bellese —Remote
- $111,800 - $134,200 a year
- Full-time
- 4 years
- Public Health
- Entry level
- Health savings account
- AD&D insurance
Reimbursement Analyst- Audit and Regulatory
SYSTEM West Virginia University Health System —Remote
- Full-time
- Remote
- Microsoft Outlook
- Computer literacy
- English
Physician Coding Auditor
MedKoder —Remote
- Full-time
- Remote
- Google Workspace
- Anatomy knowledge
- Microsoft Excel
- Profit sharing
- Continuing education credits
Quick Apply

I want to receive the latest job alert for medicaid auditor in remote

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Revenue Cycle Reimbursement Auditor

Titan Healthcare Management Solutions
Remote

Quick Apply

Job Details

Full-time
$20 - $25 an hour

Benefits

Work from home

Qualifications

Appeals
Contract documentation review
Contract review
Microsoft Excel
Medicare
Customer service
Contract interpretation
Medical coding in outpatient clinics
High school diploma or GED
Medical billing and coding communication with insurance companies
Medical insurance appeals management
Medicaid
Insurance provider collaboration
Productivity software
Insurance claims auditing
Healthcare claims compliance audits
Insurance claims appeal handling
Healthcare coding investigations
Technical Proficiency

Full Job Description

Join a dynamic and innovative team dedicated to excellence in healthcare reimbursement. At Titan, we are committed to ensuring accurate and timely payments, fostering a collaborative environment where your skills will directly impact our mission of identifying underpayment patterns to maximize revenue recovery for our clients.

Essential Job Duties/Responsibilities
As a Reimbursement Auditor, you will play a pivotal role in ensuring our clients' claims are processed accurately and identifying areas where additional revenue can be pursued. Your responsibilities will include:

Audit Excellence: Conduct thorough audits of hospital insurance claims payments, including Medicare and Medicaid, ensuring compliance with coding rules and payment standards. Perform in-depth research to verify the accuracy of claim payments or the legitimacy of denials, including proactive communication with insurance plans when necessary.
Contract Insight: Analyze contract language to identify potential areas for payment errors before they occur, contributing to proactive management of reimbursement processes.
Error Identification: Detect and verify underpayments by insurance plans, ensuring accurate financial reconciliation for our hospital.
Appeal Craftsmanship: Develop compelling appeal and grievance arguments, including precise calculations of short payments. Draft and submit appeal letters or reconsideration requests via various channels (phone, fax, email, or payor portal).
Appeal Management: Review and audit paid appeal amounts to confirm accurate resolution. Draft and submit secondary appeals when necessary, ensuring comprehensive follow-up on underpaid accounts.
Collaborative Collection: Assist in the collection of appeals by effectively communicating with insurance plans to expedite accurate payments when needed.
Team Culture: Upholds organizational values to help foster a trusting and respectful work environment.

Minimum Qualifications

In-Depth Knowledge: Expertise in Commercial, Medicare, and Medicaid claims, including a thorough understanding of billing, coding rules, and claim forms (UB04 and HCFA 1500) and reimbursement. Along with, detailed understanding of CPT/HCPCS and ICD10 coding.
Analytical Skills: Proficiency in contract analysis and interpretation with at least 1 year of experience in contract analysis and hospital or physician claims auditing.
Appeal Experience: Hands-on experience with payor reconsiderations and appeals, including drafting appeal letters and following up with payors.
Technical Skills: Proficiency in Microsoft Office (Word and Excel) with at least 1 year of experience. Certification such as Certified Outpatient Coding (COC) or Certified Professional Coding (CPC) is preferred.
Communication: Exceptional oral and written communication skills, with a focus on customer and client service.

Work Environment

Work from home: your workspace should be large enough to work efficiently with reliable internet connectivity.

Performance Standards

Attitude: Demonstrate a positive and professional demeanor toward supervisors, co-workers, and clients.
Reliability: Show commitment and initiative in your role, with a strong focus on job performance and follow-through.
Quality: Deliver high-quality work with attention to detail and accuracy.

Technical Skills:

High school diploma or equivalent.
Proficiency in Microsoft Office (Word and Excel) with at least 1 year of experience.
2 years prior experience in reimbursement auditing, contract and financial review.
CPC-A, CPC preferred

Salary Range: $20-25 hourly

tSZmUWbCLD

Quick Apply

Refine Your Search

medicaid auditor jobs in remote

Revenue Cycle Reimbursement Auditor

Consultant - Healthcare Compliance Auditor - HTS

Supervisor - Audit/Investigation

Healthcare Data Analyst / Algorithm Developer

Senior Internal Auditor

Nurse Reviewer

Senior Associate - Healthcare Compliance Analyst - HTS

SME - Medicaid Program Integrity and Claims Audits

Inpatient Medical Coding Auditor

Revenue Cycle Manager

Inpatient Medical Coder

Account Resolution Representative

Claims Auditor- Remote

Internal Auditor I

Sr Manager, Post Pay Audit

Healthcare Data Analyst

Senior Manager Auditing

Information Systems Security Officer I (ISSO-1)

Reimbursement Analyst- Audit and Regulatory

Physician Coding Auditor

I want to receive the latest job alert for medicaid auditor in remote

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected