- HCA Healthcare (Ocala, FL)
- …is met in compliance with departmental policies and procedures + Review Medicare Recovery Audit Contractor (RAC) recoupment requests and process or appeal as ... appropriate + Compose technical denial arguments for reconsideration, including both written and telephonically + Overcome objections that prevent payment of the claim and gain commitment for payment through concise and effective appeal argument + Identify… more
- Molina Healthcare (FL)
- …processes with overall operational requirements. + Provide documentation and responses for audit requirements as necessary. + Ensure recovery components deployed ... **Job Description** **Job Summary** The Director of Cyber Recovery will oversee and manage Disaster Recovery...Cyber Recovery will oversee and manage Disaster Recovery related to the Information Technology (IT) organization's technology… more
- Molina Healthcare (Miami, FL)
- JOB DESCRIPTION Job Summary Provides support for claims recovery activities including researching claim payment and billing guidelines, audit results, and ... and provider compliance. Collaborates with health plans and vendors to facilitate recovery of outstanding overpayments. Monitors and controls backlog and workflow of… more
- TECO Energy (Tampa, FL)
- **Title:** Mgr Audit Services - IT **Company:** Tampa Electric Company **State and City:** Florida - Tampa **Shift:** 8 Hr. X 5 Days The mission of the Audit ... how to improve effectiveness in business operations. The IT Manager Audit Services helps achieve this mission through management of department operations… more
- Robert Half (Fort Lauderdale, FL)
- JOB REQUISITION Miami Internal Audit and Financial Advisory Intern - 2027 LOCATION FT LAUDERDALE ADDITIONAL LOCATION(S) JOB DESCRIPTION Are You Ready to Live ... make a difference? You've come to the right place. POSITION HIGHLIGHTS Internal Audit and Financial Advisory interns work with Protiviti's clients, who are typically… more
- Immigration and Customs Enforcement (Miami, FL)
- …adequacy of care, compliance with clinical and regulatory guidelines, overpayment, and audit recovery ; and developing policy guidance for nursing care reviews ... conducted by State or Federal health facility surveyors and in collaboration with IHSC Medical Quality Management Unit. Requirements Conditions of Employment Qualifications TECHNICAL HEALTHCARE DUTIES AND RESPONSIBILITIES: Using and/or carrying out standard… more
- Immigration and Customs Enforcement (Miami, FL)
- …adequacy of care, compliance with clinical and regulatory guidelines, overpayment, and audit recovery ; and developing policy guidance for nursing care reviews ... conducted by State or Federal health facility surveyors and in collaboration with IHSC Medical Quality Management Unit. TECHNICAL DUTIES AND RESPONSIBILITIES: Using and/or carrying out standard procedures for a specialized healthcare field. Applying basic… more
- Truist (Orlando, FL)
- …implementation, socialization and execution of Business Continuity (BC) and Disaster Recovery (DR) processes in support of policy, standards, procedures, and ... Management Program (Governance, Business Continuity Planning & Exercising, Disaster Recovery Planning and Testing, Enterprise Response Management and Business… more
- TECO Energy (Tampa, FL)
- **Title:** Operational Audit (Staff or Senior) **Company:** Tampa Electric Company **State and City:** Florida - Tampa **Shift:** 8 Hr. X 5 Days We're excited to ... Affiliates include Tampa Electric, Peoples Gas and Grand Bahama Power Company. Audit Services performs independent and objective assurance and advisory services that… more
- Elevance Health (Lake Mary, FL)
- …Group (DRG) methodology, including case rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, for all lines ... appeals may only be reviewed by other DRG Coding Audit Principals (or Executives). **How you will make an...years of experience in claims auditing, quality assurance, or recovery auditing. + Requires at least one of the… more