Job Title: Medical Billing Auditor
Hourly Rate: $6.00-$6.75
Start Date: ASAP
Full Time
Position Overview:
The Medical Billing Auditor is responsible for reviewing medical claims, billing records, and coding accuracy to ensure compliance with healthcare regulations and insurance policies. This role involves conducting audits, identifying discrepancies, and providing recommendations to improve billing practices, minimize errors, and prevent fraud.
Job Responsibilities:
- Prepare, manage, and audit all primary and secondary insurance verifications and re-verifications for
- medical insurance.
- Responsible for pre-billing audits.
- Responsible for 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 insurance.
- Review contracts to verify insurance payment and insurance requirements.
- Assist in 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.
Job Qualifications:
- A bachelor’s degree in healthcare, informatics, or IT-related field (preferred).
- Excellent English communication and interpersonal skills.
- Minimum of two (2) years’ experience in Healthcare Billing and Collections to include Medicare Part A, Part B, Commercial, Medicaid, and co-insurance are required.
- Home Health billing experience is required.
- Proficient computer skills with familiarity with computer applications including medical billing software systems and Microsoft Office (Word, Excel, Outlook, and PowerPoint).
- Experience with Way Star and Well Sky software is preferred.
- Organized and detail-oriented.
- Able to interpret and implement Medicare and commercial payer guidelines.
- Work well under the pressure of deadlines and in diversified work environments.
- Must demonstrate strong communication skills in both verbal and written formats.
- Willing to learn new skills or processes and the ability to attend training and other continuing education programs, within the responsibilities and duties of the job.
Hardware and Software Requirements:
Hardware:
- AMD Ryzen 3 3200G APU or Intel Core i5 (at least 7th gen) Intel CPU
- 16GB DDR4 RAM
- 120 – 480gb SSD
- Jabra Biz 1100 / Logitech H390 or similar Noise-canceling Headset
- 1 – 2 Monitors (at least 21in)
- 1080p HD Webcam
- Internet Speed: 50mbps (Fiber/DSL) LTE not accepted
Software:
- Genuine Windows 10 Licensed Computer
- Microsoft Office Suite
