Healthcare Compliance & Pre-Billing Lead

Charter Healthcare; Rancho Cucamonga (CA); On-site; USD 85,000 - 110,000; Full time

Job summary

A healthcare company is seeking a Compliance Pre-Billing Manager in Rancho Cucamonga, CA. This role involves overseeing billing audits, managing compliance initiatives, and ensuring adherence to regulations. The ideal candidate will have a Bachelor's degree, healthcare compliance certification, and at least 5 years of experience in a healthcare organization, along with strong project management and communication skills.

Qualifications

• Minimum 5 years’ experience in a healthcare organization with leadership.
• Familiarity with COPs, LCDs, NCDs and state regulatory guidelines.
• Valid driver's license and auto insurance.

Responsibilities

• Provide oversight and management of all billing audits.
• Monitor and analyze trends in disallowed claims.
• Develop and recommend annual compliance and internal Quality Assurance audit programs.

Skills

Compliance

Project management

Interpersonal skills

Attention to detail

Communication skills

Education

Bachelor’s degree

Master’s or Juris Doctorate degree

Healthcare Compliance Certification

Tools

Excel

Microsoft Word

Job description

A healthcare company is seeking a Compliance Pre-Billing Manager in Rancho Cucamonga, CA. This role involves overseeing billing audits, managing compliance initiatives, and ensuring adherence to regulations. The ideal candidate will have a Bachelor's degree, healthcare compliance certification, and at least 5 years of experience in a healthcare organization, along with strong project management and communication skills.