Government Recovery Specialist

• Government Recovery Specialist

• Location:

• Costa Mesa, CA

• Pay Range:

• $25 - $37 per hour

• Employment Type:

• Full-Time

• Position Summary:

• Are you an expert in Medicare billing and government audits?

Join our team as a Government Recovery Specialist and play a crucial role in ensuring compliance with Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other regulatory requirements. You'll be the go-to person for all government audit activity, coordinating correspondence, preparing audit documentation, and supporting our team through complex government regulatory reviews.

• What You'll Do:

• + Serve as the primary point of contact for all government audit activities, including RAC, MAC, TPE, CERT, OIG, QIO, Medicaid, and Medi-Cal audits.

+ Prepare, review, and organize audit information and documentation for government regulatory and enforcement agency audits. + Respond to correspondence from government agencies related to pre- and post-payment audits. + Manage data entry, mail processing, and maintain accurate records for audit submissions and responses. + Collaborate cross-functionally to ensure compliance with CMS rules and regulations, privacy regulations, and billing standards. + Utilize Microsoft Office applications to prepare reports, presentations, and correspondence.

• What You'll Need:

• _

Required:

_ + High school diploma or equivalent experience (grandfathered employees hired prior to 2011 without HS diploma are eligible) + Minimum of 3 years' experience in Medicare billing, follow up, and appeals in an acute care setting + 1-3 years' experience with healthcare regulatory audits and appeals + Demonstrated experience with CMS billing, payment, and reimbursement methodologies + Strong understanding of privacy and security regulations, release of information, and CMS rules + Experience managing complex projects in a healthcare environment + Proficiency in Microsoft Office (Word, PowerPoint, Excel, Outlook) _

Preferred:

_ + 5+ years' experience in an acute healthcare setting + 3+ years' experience in healthcare regulatory audits and appeals + Direct experience with RAC, MAC, TPE, CERT, OIG, Medicaid, Medi-Cal, and other regulatory audits + 5+ years' Medicare billing, follow up, and appeals experience + Knowledge of utilization management process, coding, and medical necessity criteria If this sounds like something you are qualified for, click Apply now!

• Pay Details:

• $25.

00 to $37.00 per hour Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable. Equal Opportunity Employer/Veterans/Disabled Military connected talent encouraged to apply To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.adecco.com/en-us/candidate-privacy The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable: + The California Fair Chance Act + Los Angeles City Fair Chance Ordinance + Los Angeles County Fair Chance Ordinance for Employers + San Francisco Fair Chance Ordinance

• Massachusetts Candidates Only:

• It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment.

An employer who violates this law shall be subject to criminal penalties and civil liability.