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Medical Billing & Collections Specialist (Audit)

Medical Billing & Collections Specialist (Audit)

Rotech HealthcareLafayette, IN, US
15 days ago
Job type
  • Full-time
Job description

Medical Billing & Collections Audit Specialist

At Rotech Healthcare Inc., were more than a medical equipment providerwere a trusted partner in patient care. As a national leader in ventilators, oxygen therapy, sleep apnea treatment, wound care, diabetic solutions, and other home medical equipment, we empower patients to manage their health from the comfort of home.

With hundreds of locations across 45 states, our team delivers high-quality products, exceptional service, and compassionate support that helps patients live more comfortably, independently, and actively. Whether you're a clinician, technician, or healthcare administrator, your work at Rotech directly improves lives.

We are seeking a dedicated Medical Billing & Collections Audit Specialist to join our Billing Center Division. This position is responsible to review and respond to all Prepay and Post-Pay audits within the required time frame.

Pay starting at $15.50

Mon - Fri scheduled shift / flex hours between 7am - 5pm

Essential Duties and Responsibilities :

  • All manual re-billing audits are reviewed for accuracy and turned into supervisor for approval before posting, insures release of claim
  • Contacts physician, facilities, patients, or location to gather documentation needed to respond to an audit
  • Documents all work done in NAT notes in eIntake
  • Ensures good communication with locations and auditors
  • Process all Payer appeal requests within the time frame required by the Payer
  • Processes all adjustments within iWorkQ
  • Reports to BCC Supervisor any trends, which will prevent future audits
  • Resolves emails from BCC Supervisor / BCM and locations within 48 hours
  • Reviews all post-pay and prepay audits for appropriate action and responds within the time frame required
  • Reviews patient information in IMBS to determine if an adjustment is valid
  • Reviews the EMR to gather all documentation for an audit
  • Performs other duties as assigned

Employment is contingent on :

  • Background investigation (company-wide)
  • Drug screen (when applicable for the position)
  • Valid drivers license in state of residence with a clean driving record (when applicable for the position)

    • Education and / or Experience :

  • High school diploma or GED equivalent
  • One to three years of related prior work experience in a team-oriented environment
  • Experience in medical field and administrative record management
  • Strong customer service background

    • Skills, Knowledge and Abilities :

  • Effectively communicate in English; both oral and written
  • Helpful, knowledgeable and polite while maintaining a positive attitude
  • Interpret a variety of instructions in a variety of communication mediums
  • Maintain confidentiality and practice discretion and caution when handling sensitive information
  • Multi-task along with attention to detail
  • Self-motivation, organized, time-management and deductive problem solving skills
  • Sense of urgency and responsiveness to physicians, location employees and patients
  • Work independently and as part of a team

    • Physical Demands :

  • Requires sitting, walking, standing, talking or listening; extensive hours sitting at a desk
  • Requires close vision to small print on computer and or paperwork; extensive hours working on the computer

    • Machines, Equipment and Technical Abilities :

  • 12 key calculator
  • Email transmission and communication
  • Emdeon Claims Master and Payment Manager
  • IMBS and eIntake systems
  • Internet navigation and research
  • Microsoft applications including but not limited to Word, Excel, etc.
  • Office equipment; fax machine, copier, printer, phone and computer

    • Benefits :

  • Generous paid time Off and paid holidays
  • Overtime pay for non-exempt hourly positions based on business needs
  • Commission for Account Executives
  • Fixed and variable rate car reimbursement for Area Managers and Account Executives
  • Employee discount program
  • Employee recognition program
  • Bonus and incentive opportunities
  • Mileage reimbursement (when applicable for the position)
  • Telephone reimbursement (when applicable for the position)
  • EAP
  • 401k, HSA and FSA / Dependent Care FSA
  • Medical, Prescription, Dental and Vision
  • Life Insurance, Disability, Accidental death, Identity protection and Legal services
  • Meru Health Mental health and Mercer SmartConnect Medicare programs
  • Livongo Diabetes and High Blood Pressure programs
  • Healthcare Bluebook and RX Savings solutions programs
  • HEPB and TB vaccinations
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    Medical Billing Specialist • Lafayette, IN, US