What are the responsibilities and job description for the Medical Billing Auditor Alumus FT position at Alumus?
Overview
Elevate your career with a team that truly cares. Join a company that sees a better way for healthcare by being patient advocates, following evidenced-based clinical practices, caring for people holistically, improving continuity of care and providing nurturing surroundings that encourage and inspire.
The Medical Billing Auditor is responsible for ensuring that there are no errors in medical bills or any fraudulent activity and claims are submitted in a timely manner.
Why Choose Alumus? • Raising the Bar for Senior Healthcare: We aim to provide the best service to our patients and their families in the Senior Healthcare Industry. Our service is particularly attuned to the needs of seniors and their families, offering compassionate, personalized care that enhances their quality of life. We continually strive to evolve and improve our offerings, ensuring that we stay at the forefront of senior healthcare excellence.• History of Success: Alumus has grown into managing and operating four distinct healthcare companies, with over 1,200 clinicians and associates serving patients and their families in Arizona, Washington, and Oregon.• Opportunities for Growth: Many of our long-standing employees had humble beginnings and have grown their career with Encore Communities.• Comprehensive Benefits: Access to comprehensive benefit coverage plans to ensure your health and well-being are prioritized. • 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 all employee's unique contributions are celebrated and valued, fostering an environment of inclusivity and diversity.
Responsibilities
- 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.
Qualifications
- 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 coverage including medical, dental, vision, life insurance, PTO and paid holidays, with 401(k) with match.
- Employee Referral Bonus Program
- Flexible Schedule
- Tuition Assistance
EEO
EQUAL EMPLOYMENT OPPORTUNITY: It is the policy of our organization to provide employment opportunities to all persons based solely on ability, regardless of race, color, religion, sex, national origin, age, sexual orientation, gender identity or disability.
When requested by a candidate, reasonable accommodations will be made in order for an otherwise qualified applicant with a disability to participate in any phase of the recruitment process. Please contact careers@alumus.com to request an accommodation. Requests should be made 24 hours in advance or as early as possible to allow time to arrange the accommodation.
Pay Rate
Pay Range
USD $17.00 - USD $20.00 /Hr.Salary : $17 - $20
