Description

Perform auditing and compliance reviews for Medicaid fee-for-service and Managed Care billing programs.

This role is on-site.

Responsibilities

• Monitor program compliance regarding Medicaid billing structures.
• Review medical records, charts, and documentation for accuracy.
• Communicate findings and maintain professional relationships with stakeholders.
• Meet strict deadlines while maintaining high attention to detail.

Required Skills

• 2+ years of experience as an auditor, compliance analyst, care manager, medical records reviewer, chart reviewer, or QA analyst.
• Experience monitoring program compliance or Medicaid fee-for-service and Managed Care billing.
• Proficiency in MS Excel, MS Word, MS Outlook, MS PowerPoint, and MS SharePoint.
• Strong accuracy and attention to detail.
• Proven ability to meet deadlines and adhere to strict performance standards.
• Excellent communication and customer service relationship skills.
• Any Graduate degree.

Preferred Skills

• Knowledge of Social Adult Day Care and state/federal regulations.
• Experience enforcing compliance activities of third parties.
• Process-oriented approach with the ability to work independently or within a team.

Key Skills

Education

Any Graduate