AUDIT PROCESSOR

Job Description

Growing Healthcare Receivable Management Company seeking a detail oriented full time Audit Processor to support our Auditors and Management Teams.

MediSys Management, LLC/FRR Recovery, Inc offers a robust benefits package, which is designed to help you and your dependents stay healthy, feel secure and maintain a work/life balance. This is just one way we strive to provide employees with a rewarding workplace. As an effort to keep pace with healthcare trends MediSys Management, LLC/FRR Recovery, Inc is committed to providing a comprehensive benefits package to its employees which includes...Medical, Dental, Vision, Flexible Spending Programs, 401K, Paid Holidays, Paid time off, Educational Assistance and many more.

Summary of Responsibilities:

• Follow up and analysis on hospital patient accounts, including follow up with third party payors
• Provide administrative support, such as copying and filing in accordance with established procedures and acts as a support to the Auditors and Management.

Responsibilities:

• Follow up on appeal status for appeals of Managed Care Medical Necessity Denials; Managed Care DRG Changes; IPRO Medical Necessity Denials, IPRO DRG Changes
• Follow up on status for Inpatient/Outpatient claims/denails.
• Identify and analyze different types of correspondence including medical necessity denials; coding revisions, appeal determinations, approval, requests for additional information, etc.
• Documenting, Scanning and attaching correspondence in electronic medical record system;
• Send medical record requests to Medical Records Department for processing;
• Communication- Written and Verbal – with different departments/individuals pertaining to correspondence received;
• Pack appeals from MediSys Health Network Appeals Unit (MHNAU) and Psychiatry to be sent out via certified mail;
• Look up in electronic medical record system and add account number to all correspondence
• Retrieve faxes on a daily basis
• Sort and stamp incoming mail on a daily basis
• Other department related tasks as assigned by Management for departmental needs

Required Qualifications:

• High School Diploma or GED, required
• Bachelors’ degree, preferred
• Coding certification, preferred
• Minimum 1 year in a healthcare setting
• Computer literate
• Proficient in EPIC application, preferred

The Company is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law."

Job Type: Full-time

Pay: $45,000.00 - $48,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Disability insurance
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Parental leave
• Tuition reimbursement
• Vision insurance

Schedule:

• Monday to Friday

Work Location: In person

Salary : $45,000 - $48,000