Medical Billing Auditor

Role Overview

• Prepare, manage, and audit all primary and secondary insurance verifications and re-verifications for medical insurances such as Medicare, Private and Managed Care patients via paper or electronic means according to payer specific rules.
• Responsible for pre-billing audits, inputting and maintaining the daily client lists and pre-billing audits in the Accounts Receivable (AR) or other financial software systems.
• Accurately maintain all patient accounts including monthly statements and collections.
• Research and resolve EOB rejections and other issues with outstanding accounts.
• Post cash receipts and adjustments as needed.
• Facilitate initial and ongoing authorizations from patient insurances.
• Review contracts to verify insurance payment and insurance requirements.
• Assist facilitating and managing the Monthly Triple Check process.
• Assist in maintaining payer setup in the AR software.
• Communicate with managers and staff as required to obtain or verify billing information.
• Communicate with patients and/or families regarding patient data and account status.

Requirements

• Minimum two (2) years’ experience in Healthcare Billing and Collections to include Medicare Part A & Part B, Commercial, Medicaid and co-insurance are required.
• Proficient computer skills with familiarity with computer applications to include medical billing software systems and Microsoft Office (Word, Excel, Outlook, and PowerPoint).
• Home Health billing experience is required.
• Experience with Way Star and Well Sky software is preferred.

Benefits

• Comprehensive Benefits : Access to comprehensive benefit coverage plans to ensure your health and well-being are prioritized.
• Generous PTO : Enjoy ample paid time off to recharge and pursue personal endeavors, fostering a healthy work-life balance.
• Tuition Reimbursement : Invest in your professional development with our tuition reimbursement program, empowering you to advance your skills and knowledge.
• IT Equipment : Equip yourself with the necessary tools for success with state-of-the-art IT equipment provided by Aleca Home Health.
• Collaborative, Supportive Team : Join a team of passionate professionals dedicated to our core values, including prioritizing people, delivering exceptional customer experiences, embracing optimism, and executing best practices.
• Inclusive, Diverse Work Environment : Experience a workplace where every employee's unique contributions are celebrated and valued, fostering an environment of inclusivity and diversity.