- The pay for this position is $31.00 per hour
- Benefits are available to full-time employees after 90 days of employment
- A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates
- This position is a contract assignment with potential to hire on permanently based upon attendance, performance, and business needs
- The required availability for this position is Nurse Auditor Hybrid / Remote
Must work from the office in Harrisburg for 4-8 weeks for training and after training will work from the office 1 day a week and remote 4 days a week - A resource is responsible for the review and evaluation of medical information and examination of medical records and other documentation to assure that eligible medical assistance recipients receive appropriate and quality medical care that the Medical Assistance Program is properly billed and that provider and/or recipient fraud and abuse of the Medical Assistance Program is detected and corrected Ability to communicate effectively verbally and in writing with coworkers management Office of General Counsel other agencies nursing facility staff and other medical assistance providers to review and discuss cases Resources also provide advisory and consultative services to boards and staff designed to improve the services or administrative procedures in support of medical assistance patients Ability to review and evaluate provider documentation to determine compliance with Medical Assistance regulations.
- Registered Nurse issued by the Pennsylvania State Board of Nursing or Possession of a non-renewable temporary practice permit issued by the Pennsylvania State Board of Nursing
- One-year period as a nurse defined by the Pennsylvania State Board of Nursing
- Basic Computer Skills and writing
- Three years of professional experience with medical assistance MA health care services or human services
- Three years of recent within the last five years professional experience in one or more of the following areas as related to the position need: long term care acute care setting behavioral health setting drug and alcohol setting managed care quality management/utilization review or other related clinical experience
- Or equivalent to combination of experience and training in the field of medical assistance MA health care services human services long term care utilization review or knowledge of home care
- Attendance is mandatory for the first 90 days
- Knowledge of and familiarity with the following would be beneficial: Inter- Qual criteria ICD-9 CM and current procedure terminology
- Microsoft Office Suite
- 1+ year as a Registered Nurse issued by the Pennsylvania State Board of Nursing
-
Nurse Auditor
3 weeks ago
A-Line Staffing Solutions Harrisburg, PA, United StatesA-Line Staffing is now hiring a Nurse Auditor Hybrid / Remote in Harrisburg PA. If you are interested in this Nurse Auditor Hybrid / Remote position, please contact Marcia Hamilton at or Nurse Auditor Hybrid Auditor, Audit, Nurse, Registered Nurse, Staffing, Medical, Healthcare ...
-
Nurse Auditor
3 weeks ago
A-Line Staffing Solutions Harrisburg, United States· A-Line Staffing is now hiring a Nurse Auditor Hybrid / Remote in Harrisburg PA . · If you are interested in this Nurse Auditor Hybrid / Remote position, please contact Marcia Hamilton at or · Nurse Auditor Hybrid / Remote Compensation · The pay for this position is $31 ...
-
Registered Nurse Coding Auditor
3 weeks ago
A-Line Staffing Solutions Harrisburg, PA, United StatesA-Line Staffing is now hiring a Nurse Auditor Hybrid / Remote in Harrisburg PA . · If you are interested in this Nurse Auditor Hybrid / Remote position, please contact Marcia Hamilton at or · Nurse Auditor Hybrid / Remote Compensation · 00 per hour · Benefits are available to ...
-
Hybrid Auditor Review Registered Nurse
3 weeks ago
A-Line Staffing Solutions Harrisburg, United StatesA-Line Staffing is now hiring in Hybrid Auditor Review Registered Nurse in Harrisburg, PA If you are interested in this Hybrid Auditor Review Registered Nurse position, please contact Alexis at · or Remote, must work from office for 8 weeks for training and then once per we ...
-
Hybrid Auditor Review Registered Nurse
3 weeks ago
A-Line Staffing Solutions Harrisburg, PA, United StatesA-Line Staffing is now hiring in Hybrid Auditor Review Registered Nurse in Harrisburg, PA If you are interested in this Hybrid Auditor Review Registered Nurse position, please contact Alexis at or Registered Nurse, Auditor, Registered, Audit, Nurse, Staffing, Healthcare ...
-
Hybrid Auditor Review Registered Nurse
3 weeks ago
A-Line Staffing Solutions Harrisburg, United StatesJob Description · Job DescriptionA-Line Staffing is now hiring in Hybrid Auditor Review Registered Nurse in Harrisburg, PA If you are interested in this Hybrid Auditor Review Registered Nurse position, please contact Alexis at or · Remote, must work from office for 8 weeks for ...
-
PARD Sr Auditor
2 weeks ago
Novitas Solutions Mechanicsburg, United StatesAre you interested in joining a team of experienced healthcare experts and have the ability to shape and transform the healthcare delivery system? At our family of companies, everything we do is to help improve the lives of the nearly 12 million Medicare beneficiaries we serve an ...
-
PARD Auditor
3 weeks ago
Novitas Solutions Mechanicsburg, United StatesAre you interested in joining a team of experienced healthcare experts and have the ability to shape and transform the healthcare delivery system? At our family of companies, everything we do is to help improve the lives of the nearly 12 million Medicare beneficiaries we serve an ...
-
Director Business Office
3 weeks ago
Otterbein SeniorLife Lebanon, United StatesJob Description · Job DescriptionOverviewWe are looking for a full-time Director, Business Office to join our team Responsible for overseeing the Admission, Private Pay Collections, and Revenue Cycle functions within the Otterbein Small House Neighborhoods. This includes auditing ...
Nurse Auditor - Harrisburg, PA, United States - A-Line Staffing Solutions
![Default job background](https://contents.bebee.com/public/img/bg-user-ex-1.jpg)
Description
A-Line Staffing is now hiring a Nurse Auditor Hybrid / Remote in Harrisburg PA .
If you are interested in this Nurse Auditor Hybrid / Remote position, please contact Marcia Hamilton at or
Nurse Auditor Hybrid / Remote Compensation
Nurse Auditor Hybrid / Remote Highlights
Nurse Auditor Hybrid / Remote Responsibilities
Nurse Auditor Hybrid / Remote Requirements
Nurse Auditor Hybrid / Remote Preferred Qualifications
If you think Nurse Auditor Hybrid / Remote position is a good fit for you, please reach out to me - feel free to call, e-mail, or apply to this posting
Please contact Marcia Hamilton at or