Healthcare Audit Response Specialist
1 week ago
Join our esteemed organization as a Healthcare Audit Response Specialist. We are seeking a meticulous professional who will oversee all audit-related activities concerning various programs and payers, ensuring prompt evaluation of audit results and timely submission of appeals.
- Systematically organize and manage audit documentation utilizing a third-party vendor tracking system.
- Engage with multiple departments to ensure thorough review, appeals, and resolution of audit findings.
- Collaborate closely with Health Information Management, Care Coordination, Revenue Integrity, and other teams to gather and submit appeal responses in the specified format.
- Examine patterns in audit requests and denials, offering insights for team training and enhancement of processes.
- Stay informed on changes in payer requirements and integrate these updates into audit procedures.
- Compile and deliver reports on audit activities during leadership discussions.
- Additional duties may be assigned as necessary.
Education: High School Diploma or Equivalent required. Bachelor's degree preferred.
Experience: Minimum of 3 years in Revenue Cycle Management or a Bachelor's degree with at least 1 year of relevant experience. Licensure: No specific licensure required.
PHYSICAL DEMANDS
This position requires prolonged periods of sitting, occasional short-distance travel. Strong communication, auditory, and visual skills are essential; attention to detail is critical; ability to lift/push/pull as needed.
About the Company: The Commonwealth of Virginia is committed to promoting diversity within its workforce. As an equal opportunity employer, we value the unique perspectives and experiences that each individual contributes. All applicants will be evaluated based on their qualifications without regard to factors such as age, disability, gender identity, race, religion, or veteran status.
-
Healthcare Billing Quality Specialist
2 weeks ago
Charlottesville, Virginia, United States Commonwealth of Virginia Full timePosition Overview: The Healthcare Billing Quality Specialist plays a crucial role in delivering expert consulting services to healthcare professionals, including physicians, residents, and billing staff, ensuring adherence to patient care documentation, coding, and billing practices in line with regulatory compliance standards at federal, state, and local...
-
On-Site Medical Response Specialist
2 weeks ago
Charlottesville, Virginia, United States Commonwealth of Virginia Full timePosition OverviewThe On-Site Medical Response Specialist plays a crucial role in delivering expert medical assistance during large-scale events such as sports competitions, concerts, and various public gatherings. This position involves collaboration with a diverse team of healthcare professionals to effectively manage health emergencies for attendees and...
-
Healthcare Support Specialist
2 weeks ago
Charlottesville, Virginia, United States Davita, Inc. Full timePosition Overview:As a Healthcare Support Specialist at Davita, Inc., you will play a crucial role in enhancing patient care and ensuring a positive treatment experience.Key Responsibilities:Monitor patients throughout their dialysis sessions, including the assessment of vital signs and recording essential health data.Prepare and maintain hemodialysis...
-
Healthcare Support Specialist
2 weeks ago
Charlottesville, Virginia, United States UVA Health Full timePosition OverviewAs a vital member of our healthcare team, the Healthcare Support Specialist is responsible for delivering direct patient assistance, facilitating ongoing education, and reinforcing care strategies under the guidance of the attending physician or designated healthcare provider. This role is crucial in promoting patient health and wellness...
-
Healthcare Support Specialist
2 weeks ago
Charlottesville, Virginia, United States Virginia Jobs Full timeSign-On Bonus: A competitive sign-on bonus is available for the selected candidate. Please consult with the hiring manager or recruiter for further details.Position Overview:As a vital member of our healthcare team, you will be responsible for delivering direct patient care and facilitating ongoing education while supporting care plans. This role is...
-
Healthcare Support Specialist
2 weeks ago
Charlottesville, Virginia, United States Virginia Jobs Full timeRole Overview:As a Healthcare Support Specialist, you will engage in a range of patient assistance and administrative tasks under the guidance of healthcare professionals in various settings, including inpatient facilities, outpatient clinics, or home care environments.Key Responsibilities:- Assist patients with personal care needs to facilitate optimal...
-
Certified Healthcare Support Specialist
2 weeks ago
Charlottesville, Virginia, United States Commonwealth of Virginia Full timeHealthcare Support Role at Commonwealth of VirginiaHealthcare Support Specialists are essential in delivering clinical assistance and managing administrative responsibilities in a healthcare environment under the guidance of medical professionals. Their responsibilities encompass patient care, monitoring vital signs, assisting with diagnostic tests, and...
-
Healthcare Support Specialist
2 weeks ago
Charlottesville, Virginia, United States Commonwealth of Virginia Full timeSign-On Bonus: A potential $4,000.00 sign-on bonus may be available for qualified candidates who commit to a two-year work agreement, in accordance with policy.Role Overview: The Healthcare Support Specialist performs a range of patient care and administrative tasks under the guidance of a licensed Health Care Provider (physician, APP, or RN designee) in an...
-
Healthcare Customer Service Specialist
2 weeks ago
Charlottesville, Virginia, United States Sentara Healthcare Full timePosition Overview As a vital member of our healthcare team, you will be responsible for managing the registration process for both new and existing patients. Your role will encompass essential check-in and check-out procedures, including the collection of co-payments, appointment scheduling, and handling requests for medical documentation. Key...
-
Healthcare Liaison
14 hours ago
Charlottesville, Virginia, United States The University of Virginia Full timeJob Summary:We are seeking a skilled Provider Relations Representative to join our team at The University of Virginia. As a key member of our organization, you will play a critical role in enhancing the lines of communication between referring physicians and our specialists.Key Responsibilities:Develop and manage relationships with referring physicians and...
-
Charlottesville, Virginia, United States THE LAURELS OF CHARLOTTESVILLE, LLC Full timePosition Overview: The Sanitation Specialist is responsible for delivering cleaning services that ensure a hygienic and welcoming atmosphere for residents, staff, and visitors. About Us: The Laurels of Charlottesville, LLC is committed to providing exceptional skilled nursing, rehabilitative, and assisted living services. We pride ourselves on our dedication...
-
Traveling Healthcare Professional
5 days ago
Charlottesville, Virginia, United States GetMed Staffing, Inc. Full timeJob DescriptionJob Title: CVOR Nurse SpecialistJob Type: Travel NursingLocation: Charlottesville, VirginiaJob Description:We are seeking a skilled CVOR Nurse Specialist to join our team of traveling healthcare professionals. As a CVOR Nurse Specialist, you will have the opportunity to work in a variety of healthcare settings and gain diverse...
-
Traveling Healthcare Professional
5 days ago
Charlottesville, Virginia, United States GetMed Staffing, Inc. Full timeJob DescriptionJob Title: CVOR Nurse SpecialistJob Type: Travel NursingLocation: Charlottesville, VirginiaJob Description:We are seeking a skilled CVOR Nurse Specialist to join our team of traveling healthcare professionals. As a CVOR Nurse Specialist, you will have the opportunity to work in a variety of healthcare settings, gaining diverse experiences and...
-
Healthcare Simulation Coordinator
2 weeks ago
Charlottesville, Virginia, United States Commonwealth of Virginia Full timePosition Overview: The Commonwealth of Virginia is seeking a dedicated Healthcare Simulation Coordinator to support the educational initiatives for medical and nursing students, as well as healthcare professionals at our esteemed Simulation Collaborative, Anatomy Lab, and Surgical Skills Training Center.Key Responsibilities:Provide operational assistance in...
-
Healthcare Scribe
3 days ago
Charlottesville, Virginia, United States Commonwealth of Virginia Full timeJob SummaryWe are seeking a highly skilled and detail-oriented Medical Transcription Specialist to join our team at the Commonwealth of Virginia. As a Medical Transcription Specialist, you will play a critical role in ensuring the accuracy and completeness of medical documentation.Key ResponsibilitiesShadow physicians during patient encounters and ensure...
-
Incident Response Specialist
7 days ago
Charlottesville, Virginia, United States GDIT Full timeJob Description:Overview: As a Security Incident Analyst at GDIT, you will play a critical role in protecting our clients' missions and ensuring the security of their information systems. This is a challenging and rewarding opportunity for a skilled professional to join our team and make a real impact.Key Responsibilities:Incident Response: Manage and...
-
On-Site Medical Response Specialist
1 week ago
Charlottesville, Virginia, United States Commonwealth of Virginia Full timePosition OverviewThe Event Health Services Technician is responsible for delivering immediate medical assistance during large-scale events such as sports competitions, concerts, and other community gatherings. This role involves collaboration with a diverse team of healthcare professionals to ensure effective management of health-related incidents affecting...
-
Travel Nurse RN
13 hours ago
Charlottesville, Virginia, United States Host Healthcare Full timeJob Title: Travel Nurse RN - CVOR SpecialistJob Summary:Host Healthcare is seeking a skilled Travel Nurse RN - CVOR Specialist to join our team. As a Travel Nurse RN - CVOR Specialist, you will be responsible for providing high-quality patient care in a Cardiovascular Operating Room setting.Responsibilities:Provide direct patient care in a Cardiovascular...
-
Authorization Specialist II
2 weeks ago
Charlottesville, Virginia, United States Sentara Healthcare Full timeCity/State Charlottesville, VA Overview Work Shift First (Days) (United States of America) Sentara Martha Jefferson Hospital is seeking an Authorization Specialist II - Full Time Day schedule Qualifications: High School Diploma or Equivalent is required. Experience in Health Insurance Authorizations, Health Insurance Verification, or Registration/Billing is...
-
Immunization Healthcare Professional
7 days ago
Charlottesville, Virginia, United States Giant Food Full timeAbout the RoleGiant Food is seeking a skilled Pharmacist Immunization Specialist to join our team. As a key member of our pharmacy staff, you will play a vital role in providing high-quality patient care and promoting public health through immunization services.Key ResponsibilitiesAdminister vaccinations and medications to patients, ensuring accurate dosing...