Confidential

  • Daytona Beach, FL, United States
Full Time
 
Confidential Princeton, NJ
Join a Fortune 500 and globally respected company as a Senior Compliance Auditor , where you'll lead the execution of global compliance audits across commercial operations. This is a high-impact role focused on identifying risks, strengthening internal controls, and ensuring alignment with international regulatory standards. Why This Opportunity: Prestigious company and highly regarded around the world Excellent learning, development, and progression opportunities Amazing benefits!! Work for talented leadership and with high achieving co-workers What You’ll Do As Senior Compliance Auditor: Execute global compliance audits across sales and marketing functions Evaluate internal controls and recommend improvements Collaborate cross-functionally to ensure adherence to healthcare and anti-corruption regulations Oversee audits across key compliance areas: third-party activities, promotional practices, research support, charitable contributions, no-charge product...

Confidential New York, NY
Job Summary We are seeking an experienced Medical Biller to join our growing billing team.We are specifically looking for candidates with recent medical billing experience in either: Ear, Nose & Throat (ENT) OBGYN / Women's Health The ideal candidate will have a strong understanding of insurance follow-up, denial management, appeals, and accounts receivable management.This position plays a key role in maximizing reimbursement and ensuring accurate, timely claim resolution for our clients.Responsibilities Work insurance aging reports and denied claims to obtain payment. Research and resolve claim denials, rejections, and payment discrepancies. Submit appeals and supporting documentation as needed. Review payer-specific requirements and ensure compliance with billing guidelines. Follow up with insurance carriers regarding outstanding claims. Accurately post and reconcile payments when applicable. Maintain detailed documentation of all account activity. Collaborate with internal...

Confidential NE
Job Overview We are seeking an energetic and detail-oriented Lead Coder to oversee medical coding operations within our healthcare organization.The ideal candidate will possess extensive knowledge of medical coding standards, and revenue cycle processes to optimize clinical revenue and ensure seamless insurance third-party billing.Responsibilities Lead coding team to ensure accurate and timely coding and submission of claims.Oversee compliance with medical billing regulations, including Medicare and Medicaid regulations.Review medical records for proper ICD (International Classification of Diseases) coding and ensure adherence to healthcare billing standards.Maintain up-to-date knowledge of health insurance policies, Medicare, Medicaid, and other third-party payer requirements.Collaborate with clinical staff to verify documentation accuracy in electronic health records (EHR) systems.Monitor revenue cycle management processes from patient registration through final payment...