- State of Maine, Bureau of Human Resources (Augusta, ME)
- …Estate Recovery , Casualty Recovery , and Insurance, Long Term Care and Recovery and Audit . The position supervises staff in each of these business units ... Center monthly. * Works to resolve provider disputes of audit findings. * Provides monthly TPL recovery ...of audit findings. * Provides monthly TPL recovery reports, Estate Recovery reports, Insurance … more
- PRGX (Nashville, TN)
- …and expand impact across our clients' organizations for healthier whole businesses. PRGX pioneered Recovery Audit nearly 50 years ago and is now the global ... value. With end-to-end technology and deep vertical expertise that underpins our recovery , preventive, and analytics solutions, we provide the actionable insights to… more
- Kyndryl (Sacramento, CA)
- …and associated procedures, separation of duties, data security and privacy, disaster recovery , audit trails, testing and data migration process) + Experience ... + Conduct and assist in all phases of the review/ audit , including, but not limited to, planning and scoping...cloud, SaaS, PaaS, IT controls and processes + Conduct review/ audit of SAP solutions + Conduct review/ audit … more
- Veterans Affairs, Veterans Health Administration (Denver, CO)
- …accounts receivable system for collections related to bills of collection. Records recovery audit collections to specific cases in the automated systems ... used to manage the recovery audit program. Work Schedule: Monday - Friday; 40 hours per week; tour based on organizational need Compressed/Flexible: Available… more
- PRGX (Atlanta, GA)
- …and expand impact across our clients' organizations for healthier whole businesses. PRGX pioneered Recovery Audit nearly 50 years ago and is now the global ... value. With end-to-end technology and deep vertical expertise that underpins our recovery , preventive, and analytics solutions, we provide the actionable insights to… more
- PRGX (Atlanta, GA)
- …and expand impact across our clients' organizations for healthier whole businesses. PRGX pioneered Recovery Audit nearly 50 years ago and is now the global ... value. With end-to-end technology and deep vertical expertise that underpins our recovery , preventive, and analytics solutions, we provide the actionable insights to… more
- PRGX (Atlanta, GA)
- …and expand impact across our clients' organizations for healthier whole businesses. PRGX pioneered Recovery Audit nearly 50 years ago and is now the global ... value. With end-to-end technology and deep vertical expertise that underpins our recovery , preventive, and analytics solutions, we provide the actionable insights to… more
- Granville Health System (Oxford, NC)
- …Admission indicators. #Obtains documentation relevant to denials avoidance related to the Recovery Audit program, the Comprehensive Error Rate Testing (CERT) ... program, and other audit programs, recognizing and disseminating to physicians the importance of clinical documentation for both the physician and the hospital.#… more
- University of Michigan (Ann Arbor, MI)
- …Oversee all aspects of the Compliance and Auditing process, including all Recovery Audit Contractor activity and internal requests for production of ... Direct and coordinate all activities related to the response to external audit activities, appeals, and denials. Work with stakeholders to create proactive systems… more
- Hackensack Meridian Health (Hackensack, NJ)
- …Additional research will include Agency for Healthcare Research and Quality (AHRQ), Recovery Audit Program (RAC) Statement-of-Work (SOW), Office of Inspector ... performs all related internal, concurrent, prospective and retrospective coding audit activities across the Hackensack Meridian Health (HMH) network. Reviews… more
- Virginia Mason Franciscan Health (Seattle, WA)
- …etc) - Hospital/clinic insurance billing, follow-up/denials management, auditing and appeals, recovery audit response - Advanced revenue cycle analytics Work ... is performed through subordinate management who are responsible for the day-to-day operations of assigned department(s), ensuring quality and staff productivity standards are met, accurate claims submission, timely resolution of denials/denials mitigation, and… more
- Hackensack Meridian Health (Hackensack, NJ)
- …denials by: I. Peer-to Peer (P2P) Concurrent appeals ii. Written Concurrent appeals iii. Recovery Audit Contractors & levels of appeal iv. Root cause analysis & ... trends v. Participation in Managed Care Contracting & distribution of contract terms where appropriate 7. Utilization Review Process a. Subject Matter Expert in the use & application of Utilization Management Criteria ( ie MCG ) b. Supports & Participates in… more
- Robert Half Finance & Accounting (Portland, OR)
- …of specific Accounts Payable records and analysis. * Assist with the annual recovery audit and manage annual 1099 reporting. * Work towards continuous ... improvement of the Accounts Payable environment. * Provide backup for payment processing and vendor maintenance. * Manage invoice holds and rejections pending resolution. * Review Accounts Payable aging and take appropriate steps to address aged payables. *… more
- Mohawk Valley Health System (Utica, NY)
- …Provide peer-to-peer payor review in collaboration with attending physicians. + Support Recovery Audit Contractors (RAC's). + Assist with mitigating barriers to ... discharge and care progression. + Perform concurrent review of cases greater than 4 days or the assigned/estimated GMLOS + Partner with the care management team with the management of LOS, complex care needs and patient throughput efforts. Provide transition… more
- Providence (OR)
- … audit work papers that enables collaboration with external teams in the audit and recovery process + Coordinate with parties with compliance accountabilities ... related auditing and monitoring activities at the Health Plan + Coordinate recovery of overpayments related to fraudulent and/or abusive billing and coding… more
- Citigroup (Wilmington, DE)
- …(SAS preferred), to develop data driven insights with regards to collection and recovery strategies. + Manage the audit and control environment, end-user ... strategy, analytics, and oversight of early default collections and post charge off recovery for the US residential real estate portfolio. In this role, your will… more
- United States Steel (PA)
- …opportunities, market fluctuation and complex contractual agreements. + Administration: Freight audit recovery and resolves billing issues with the ... for import/export compliance and audits (including ISO document review and audit preparation). Monitor Customs Invoices (CI) System to ensure border crossing… more
- Chervon North America (Naperville, IL)
- …+ Manage and support the Enterprise Data Center Backup operations and disaster recovery planning and testing. + Audit , Monitor and optimize systems to ... but not limited to, Microsoft 365, Microsoft Azure, cloud backup and recovery services and collaboration tools. + Lead corporation Desktop support. + Deploy… more
- Huntington National Bank (Columbus, OH)
- Description Summary: Huntington's Resolution & Recovery Planning Office is seeking a Resolution & Recovery Planning Analyst to join the Resolution & Recovery ... responsible for the end-to-end development and delivery of Huntington's resolution and recovery planning programs. In this role, the qualified candidate will be… more
- Citigroup (New York, NY)
- The Recovery and Resolution Planning (RRP) Issue Management Lead is a that reports into the Head of RRP Governance and Reporting. A successful candidate will have ... control background with experience in leading and implementing large scale Recovery and resolution planning projects and regulatory remediation. The individual will… more