Medical Billing Auditor

This is a fully remote position, open to applicants in Tennessee.

📋 Description

• Conduct, oversee, and verify all primary and secondary insurance verifications and re-verifications for medical insurances, including Medicare, Private, and Managed Care patients, through both paper and electronic methods, adhering to payer-specific guidelines.

• Accountable for pre-billing audits, entering and maintaining daily client lists, and executing pre-billing audits within the Accounts Receivable (AR) or other financial software systems.

• Diligently maintain all patient accounts, ensuring accuracy in monthly statements and collections.

• Investigate and resolve EOB rejections and other issues related to outstanding accounts.

• Process cash receipts and adjustments as necessary.

• Manage initial and ongoing authorizations from patient insurances.

• Review contracts to confirm insurance payment and requirements.

• Assist in facilitating and overseeing the Monthly Triple Check process.

• Support the maintenance of payer setup within the AR software.

• Liaise with managers and staff as needed to acquire or validate billing information.

• Communicate with patients and/or their families regarding patient data and account status.

⛳️ Requirements

• A minimum of two (2) years of experience in Healthcare Billing and Collections, including Medicare Part A & Part B, Commercial, Medicaid, and co-insurance, is required.

• Strong computer skills and familiarity with applications, including medical billing software systems and Microsoft Office (Word, Excel, Outlook, and PowerPoint).

• Experience in Home Health billing is required.

• Proficiency with Way Star and Well Sky software is preferred.

🏝️ Benefits

• Comprehensive Benefits: Access to a wide range of benefit coverage plans that prioritize your health and well-being.

• Generous PTO: Enjoy significant paid time off to relax and pursue personal interests, promoting a healthy work-life balance.

• Tuition Reimbursement: Enhance your professional growth through our tuition reimbursement program, enabling you to develop your skills and knowledge.

• IT Equipment: Receive state-of-the-art IT equipment from Aleca Home Health to support your success.

• Collaborative, Supportive Team: Be part of a team of dedicated professionals committed to our core values, including prioritizing people, delivering exceptional customer experiences, embracing optimism, and executing best practices.

• Inclusive, Diverse Work Environment: Work in a setting where every employee's unique contributions are recognized and valued, fostering inclusivity and diversity.