CrawlJobs Logo

Pre-billing Audit Specialist

ONESTAFF MEDICAL

Location Icon

Location:
United States , Omaha

Category Icon
Category:

Job Type Icon

Contract Type:
Not provided

Salary Icon

Salary:

20.00 - 24.00 USD / Hour

Job Description:

We’re looking for a detail‑oriented and organized Pre‑Biller to join our team. In this role, you will review and prepare billing documentation to ensure accuracy and compliance before claims are submitted. This position is essential to maintaining clean claim submissions, reducing denials, and supporting timely reimbursement.

Job Responsibility:

  • Review source documents for completeness and accuracy prior to billing
  • Verify patient, client, or customer information and ensure all required data is present
  • Identify missing or incorrect documentation and follow up with internal teams for corrections
  • Ensure charges, codes, and modifiers (if applicable) are entered correctly
  • Review accounts for any discrepancies prior to claim submission
  • Communicate issues or inconsistencies promptly to billing or operations staff
  • Maintain accurate records and meet productivity and quality standards
  • Support billing team with other tasks as needed

Requirements:

  • High school diploma or equivalent required
  • additional billing or administrative training preferred
  • Previous experience in billing, pre‑billing, revenue cycle, or administrative support (preferred but not required)
  • Strong attention to detail and accuracy
  • Ability to work independently and manage multiple tasks
  • Excellent communication and follow‑up skills
  • Proficiency with computers and basic data entry
  • experience with billing systems is a plus
What we offer:
  • 401K
  • Car Allowance
  • Eat Well
  • Employee Assistance Program
  • Flex Hours
  • Free Direct Deposit / Weekly Pay
  • Game Rooms
  • Gym Privileges
  • HealthJoy
  • In-House Chiropractor
  • In-House Massage Therapist
  • Life Insurance
  • Long/Short Term Disability
  • Pet Insurance
  • Stay Optimized

Additional Information:

Job Posted:
March 13, 2026

Employment Type:
Fulltime
Work Type:
On-site work
Job Link Share:
PREMIUM
Premium job offers
Unlock 29494 hidden job offers
Languages
English Čeština Deutsch Ελληνικά Español Français +15
Countries
United States United Kingdom India Canada Australia +
See plans
Plans from $2.99 / month

Looking for more opportunities? Search for other job offers that match your skills and interests.

Briefcase Icon

Similar Jobs for Pre-billing Audit Specialist

Senior Billing Specialist

We are in search of a Senior Billing Specialist to join our detail-oriented serv...
Location
Location
United States , Boston
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 3-5 years of experience in a professional services environment, with law firm billing experience preferred
  • familiarity with financial/billing software and Finance/Accounting operations
  • experience with 'Aderant Expert' Billing System preferred
  • experience with electronic billing transmission across various eBilling platforms, BillBlast experience a plus
  • ability to manage a high volume of tasks, maintaining attention to detail and effective prioritization
  • proficient in MS Office, with strong Excel skills preferred
Job Responsibility
Job Responsibility
  • order, prepare, and distribute pre-bills for assigned billing partners/accounts
  • manage eBilling processes, implement changes as necessary
  • record and maintain accurate phase, task, and billing codes
  • prepare, finalize, and produce invoices for assigned accounts
  • assist with complex billing and on-demand requests (manual & electronic)
  • resolve billing issues through direct contact with partners
  • maintain and follow-up on unallocated funds
  • reprint invoices and provide copies as needed
  • produce ad hoc reports as requested
  • assist with billing overflow from other offices
What we offer
What we offer
  • medical
  • vision
  • dental
  • life and disability insurance
  • access to 401(k) plan
  • Fulltime
Read More
Arrow Right

Business Office Specialist

Robert Half is partnering with a well-established healthcare organization in Enc...
Location
Location
United States , Encinitas
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • 1+ year of experience in healthcare accounts receivable
  • 1+ year of experience in a skilled nursing facility or similar setting
  • 1+ year of insurance billing experience required
  • Experience with billing audits or pre-claim review processes strongly preferred
  • Strong attention to detail and organizational skills
  • Experience with EMR/billing systems (PointClickCare or similar preferred)
  • Proficiency in Microsoft Excel and Outlook
Job Responsibility
Job Responsibility
  • Support business office operations, including billing, collections, and accounts receivable follow-up
  • Submit and track insurance claims
  • follow up on denials and unpaid balances
  • Participate in pre-billing review processes to ensure accuracy and compliance
  • Post payments and reconcile patient accounts
  • Communicate with patients, insurance providers, and internal teams regarding billing inquiries
  • Maintain accurate documentation and ensure compliance with healthcare regulations
What we offer
What we offer
  • Medical, vision, dental, and life and disability insurance
  • 401(k) plan
Read More
Arrow Right

Senior Billing & Coding Compliance Consultant

Our client is seeking a Senior Billing & Coding Compliance Consultant to serve a...
Location
Location
United States , Dallas
Salary
Salary:
Not provided
medasource.com Logo
Medasource
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High School Diploma or equivalent and six (6) years of experience in a professional billing environment with emphasis on coding, auditing, and/or compliance responsibilities
  • Certification as Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or Certified Medical Coder (CMC) required
  • Must obtain Certified Professional Medical Auditor (CPMA) certification within 12 months of hire
  • Strong knowledge of CPT, HCPCS, and ICD-9-CM coding systems, medical record documentation standards, and accepted billing/coding standards
  • Ability to analyze medical records, billing history, payer rules, and other data to validate regulatory compliance and organizational billing integrity
  • Experience developing and conducting coding and compliance training and presentations for individuals and groups
  • Strong verbal and written communication skills
  • Ability to work independently and collaboratively as a team member
  • Proficiency in Microsoft Office (Word, Excel, PowerPoint)
  • Detail-oriented with strong organizational and prioritization skills
Job Responsibility
Job Responsibility
  • Serve as a billing integrity project leader for all service lines, developing and conducting individual or group presentations on coding, billing, and compliance topics
  • Develop and deliver standardized and specialty-driven coding and compliance training (“onboarding”) for new providers
  • Perform post-onboarding pre-bill reviews of professional charges for any service line
  • Assist in ensuring pending charges are reviewed and released in a timely manner
  • Independently review the adequacy of medical record documentation to support procedure, modifier, and diagnosis coding, identify compliance risks, and develop recommended solutions or action plans
  • Summarize findings and develop action plans for risk mitigation
  • Research and respond to coding, documentation, and reimbursement policy questions or problems
  • Support and/or conduct risk-based billing compliance audits and provide resulting education in coordination with the Compliance Office
  • Complete charge review and follow-up Epic work queue assignments for any service line
  • Provide training to new internal or contractor staff on audit software, Epic, audit plans, and work queue assignments
What we offer
What we offer
  • Competitive medical, dental, vision, Health Savings Account, Dependent Care FSA, and supplemental coverage
  • 401k plan with company match
  • Paid time off, sick time, and paid company holidays
  • Employee Assistance Program (EAP) providing services like virtual counseling, financial services, legal services, life coaching
Read More
Arrow Right
New

DRG Integrity Specialist

As a valued member of the DRG Review Team, the DRG Integrity Specialist performs...
Location
Location
United States
Salary
Salary:
Not provided
Accuity Healthcare
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • High School Diploma or GED required
  • Associates Degree in Health Information Management or similar preferred
  • Minimum 4 years of inpatient coding experience in hospital facility coding
  • Minimum 2 years of experience that is directly related to the duties and responsibilities specified above
  • Experience and knowledge in DRG reimbursement (i.e., MS-DRG, APR-DRG)
  • Coding credential required from AHIMA/AAPC (RHIA, RHIT, CCS and/or CPC, or CIC)
  • Knowledge of auditing concepts and principles
  • Expert of coding guidelines
  • Ability to use independent judgment and to manage and impart confidential information
  • Advanced knowledge of medical coding, electronic medical record systems, coding systems
Job Responsibility
Job Responsibility
  • Review pre-bill cases simultaneously with a physician during each work shift excluding breaks and meetings to analyze and validate diagnosis and procedure codes for inpatient services via coding compliance and clinical knowledge to support accurate DRG assignment
  • Utilizes Accuity technology for tracking of coding errors, query opportunities and other data collection as needed
  • Researches, analyzes, and responds to inquiries regarding compliance, inappropriate coding, and client denials
  • Possesses a high level of dependability and ability to meet Accuity coding recommendations, accuracy rate, and production standards
  • Interacts with Accuity physicians, peers, CDIS, and management regarding documentation, policies, procedures, and regulations
  • Interacts with management on an ongoing basis including assisting senior level staff in providing recommendations for process improvement so that productivity and quality goals can be met or exceeded, and operational efficiency and financial accuracy can be achieved
  • Reviews, develops, modifies, and/or adapts relevant client procedures, protocols, and systems to coordinate with Accuity methodology
  • Creates and provides group education and training based on accurate coding practices, coding compliance documentation, and regulatory provisions
  • Attends in-house training sessions to receive updated coding information and changes in coding and/or regulations
  • Adheres to stringent timelines consistent with project deadlines and directives
Read More
Arrow Right
New

DAM Manager (Viewer and Marketing)

We are looking for a hybrid thinker to own the "connective tissue" of our market...
Location
Location
United Kingdom , London
Salary
Salary:
55000.00 - 65000.00 GBP / Year
careers.itv.com Logo
ITV Jobs
Expiration Date
May 29, 2026
Flip Icon
Requirements
Requirements
  • Platform Expertise: Demonstrable experience with DAM or large-scale CMS platforms (e.g., Adobe Experience Manager, Bynder, OrangeLogic, Contentstack, etc.)
  • Business Analysis: The ability to map "as-is" processes, write user stories, and troubleshoot technical implementations
  • Agile Methodology: Experience working within a Scrum framework and leading ceremonies
  • Marketing Context: A proven track record of working within or closely with a Marketing department
  • Technical Translation: The ability to translate complex marketing needs into clear technical specifications for engineering partners.
Job Responsibility
Job Responsibility
  • Asset Lifecycle Management: Overseeing the end-to-end lifecycle of digital assets (from social media to TV) and defining metadata schemas and taxonomies to ensure assets are discoverable and ready for automated orchestration
  • Workflow Optimization & Analysis: Mapping existing marketing workflows to identify bottlenecks, translating marketing needs into technical requirements for engineers, and using data to justify automation
  • Product Evolution & Change Management: Collaborating with MarTech engineers on the DAM roadmap, leading Scrum ceremonies, and driving user adoption through training and AI integration
  • Stakeholder Management: Owning the relationship with user groups to gather feedback and acting as the "connective tissue" between Creative, Marketing, and Technical teams.
What we offer
What we offer
  • Flexible working with a range of options
  • Generous holiday allowance, plus you can buy more
  • Annual bonus opportunity
  • Competitive pension contribution
  • Save as you earn - with an opportunity to buy ITV shares
  • Wellbeing and volunteering days plus a wide range of opportunities to help you live a balanced and healthy life
  • Fulltime
Read More
Arrow Right
New

Pharmacy Technician

We’re building a world of health around every individual — shaping a more connec...
Location
Location
United States , Richmond
Salary
Salary:
16.50 - 25.00 USD / Hour
https://www.cvshealth.com/ Logo
CVS Health
Expiration Date
June 27, 2026
Flip Icon
Requirements
Requirements
  • Must be at least 16 years of age
  • Licensure requirements vary by state
  • Attention and Focus
  • Customer Service Orientation
  • Communication Skills
  • Mathematical Reasoning
  • Problem Resolution
  • Physical Demands: Remaining upright on the feet, particularly for sustained periods of time
  • Moving about on foot to accomplish tasks, particularly for moving from one work area to another
  • Picking, pinching, typing or otherwise working primarily with fingers rather than whole hand or arm
Job Responsibility
Job Responsibility
  • Manage all assigned pharmacy workstations and tasks to support the team’s ability to promptly, safely and accurately fill patient prescriptions all while providing caring service that exceeds customer expectations
What we offer
What we offer
  • Dental
  • Vision
  • Wellness resources
  • Employee discounts
  • Access to certain voluntary benefits
  • Parttime
Read More
Arrow Right
New

Crm Platform Manager (Technical Braze Specialist)

The CRM Platform Manager acts as the core Braze platform expert, delivering on k...
Location
Location
United Kingdom , London
Salary
Salary:
45000.00 - 55000.00 GBP / Year
careers.itv.com Logo
ITV Jobs
Expiration Date
May 21, 2026
Flip Icon
Requirements
Requirements
  • Technical CRM professional with a proven success working with multiple stakeholders in complex businesses
  • Experienced in the Braze platform and its capabilities and integrations, with proven technical experience and certifications
  • Highly experienced in planning, executing and optimising CRM
  • Strong communication skills with the ability to build strong relationships across a range of business areas
  • Strong leadership skills with the ability to hold others accountable and enforce change where needed
  • Highly data-literate with proven experience interpreting data to aid decision making and make recommendations
Job Responsibility
Job Responsibility
  • Work with the CRM team to deliver against marketing and viewing outcomes, reflecting the wider media strategy and supporting ITV business objectives
  • Work with the Head of CRM, Senior CRM Manager, and MarTech team on viewer journey initiatives and touchpoints to improve viewer retention alongside the wider CRM marketing programme
  • Lead on project work related to journey orchestration, triggered campaign activity, improved automation, and personalisation to increase our CRM maturity and effectiveness over a critical project-heavy period
  • Harnessing Braze's evolving AI capabilities and driving team adoption of tooling and features to improve CRM effectiveness and maturity
  • Interface with the MarTech team to monitor, optimise and document Braze platform consumption of data attributes and pipelines, helping ensure we are operating to best practices and within limits
  • Keep up to date on the latest data-driven marketing trends and mentor the team to deliver innovative and impactful CRM activity, fostering a test and learn culture that accelerates optimisation and learning
  • Ensure all CRM activity is high quality, taking ownership and where needed, and providing feedback to the team
  • Ensure all CRM activity is in line with legal and privacy guidance and regulations
  • Help monitor the effectiveness of the CRM activity and guide the team towards optimisation and change which increases impact on KPIs
What we offer
What we offer
  • Flexible working with a range of options
  • Generous holiday allowance, plus you can buy more
  • Annual bonus opportunity
  • Competitive pension contribution
  • Save as you earn - with an opportunity to buy ITV shares
  • Wellbeing and volunteering days plus a wide range of opportunities to help you live a balanced and healthy life
  • Fulltime
!
Read More
Arrow Right
New

Dispensing Pharmacist - Long Term Care

We’re building a world of health around every individual — shaping a more connec...
Location
Location
United States , Fort Worth
Salary
Salary:
50.48 - 84.62 USD / Hour
https://www.cvshealth.com/ Logo
CVS Health
Expiration Date
June 30, 2026
Flip Icon
Requirements
Requirements
  • Bachelor of Science in Pharmacy required
  • Doctor of Pharmacy preferred
  • Active pharmacist license in good standing in state of residence
  • Ability and willingness to become licensed in additional states as needed
  • Ability to work a regular onsite evening shift schedule, with weekends and holidays as needed based on business needs
  • Proficiency in clinical interpretation, including drug-drug, drug-disease, drug-food interactions, and allergies
  • Strong organizational and time-management skills
  • Excellent verbal and written communication skills
Job Responsibility
Job Responsibility
  • Verify medication orders entered by technician staff for accuracy, completeness, and clinical appropriateness
  • Review new and refill orders to ensure safe and appropriate medication therapy
  • Identify and address drug-drug, drug-disease, drug-food, and allergy-related concerns
  • Document pharmacist interventions and related actions in accordance with company policies and procedures
  • Provide accurate and timely drug information to providers and customer facilities
  • Support compliant dispensing practices in accordance with DEA requirements and applicable state laws related to controlled substances
  • Follow all applicable state and federal regulations, including HIPAA
  • Prioritize workflow effectively to support service, quality, and turnaround expectations
  • Contribute to a culture of continuous improvement, quality, and customer service within the pharmacy team
  • Perform other duties as assigned
What we offer
What we offer
  • Paid Time Off
  • medical
  • dental
  • vision coverage
  • Employee Stock Purchase Program
  • 401(k) plan with company match
  • colleague discount at CVS stores
  • wellness programs
  • Fulltime
Read More
Arrow Right