Audit Team Lead: Medicaid & VA Revenue Cycle

PARADIGM SENIOR SERVICES INC; Florida; On-site; USD 90,000 - 120,000; Full time

Job summary

Paradigm Senior Services Inc, based in Florida, is seeking an Audit Team Lead to guide a team of Audit Specialists in Medicaid and VA reimbursement, auditing for billing accuracy and compliance with federal, state, and payer requirements. You will act as SME, escalate complex issues, and drive process improvements.

The role focuses on reducing denials, revenue leakage, and financial risk while mentoring staff and partnering with Billing, Payment Posting, and Collections to improve performance.

Qualifications

• 5+ years in healthcare revenue cycle management.
• 3+ years in healthcare billing or claims auditing.
• Experience with Medicaid reimbursement processes (multi-state preferred).
• HIPAA knowledge and healthcare compliance understanding.

Responsibilities

• Lead the daily activities of the Audit team, providing guidance and feedback to Audit Specialists and input to the Audit Manager on performance and development needs.
• Assign, prioritize, and monitor daily audit workloads to meet productivity and quality standards.
• Perform audits of account documentation for accuracy, completeness, and compliance.
• Audit billing practices, including multi-state Medicaid billing, for compliance with payer contracts and regulations.
• Validate reimbursement accuracy and identify sources of revenue leakage.
• Onboard, train, and mentor Audit Specialists on revenue cycle management and Medicaid/VA reimbursement.

Skills

Healthcare revenue cycle

Medicaid reimbursement

Team leadership

Auditing

Education

Bachelor's degree in Healthcare related field

Tools

MS Office Suite

Job description

Paradigm Senior Services Inc, based in Florida, is seeking an Audit Team Lead to guide a team of Audit Specialists in Medicaid and VA reimbursement, auditing for billing accuracy and compliance with federal, state, and payer requirements. You will act as SME, escalate complex issues, and drive process improvements.

The role focuses on reducing denials, revenue leakage, and financial risk while mentoring staff and partnering with Billing, Payment Posting, and Collections to improve performance.