What are the responsibilities and job description for the AUDITOR position at Medisys Management LLC?
Job Description
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.
Growing Healthcare Receivable Management Company seeking a detail oriented full time Auditor to Analyze and follow up on patient accounts.
Summary of Responsibilities:
- Follow up and analysis on hospital patient accounts, including follow up with third party payers
Responsibilities:
- Review/Analyze Physician/Outpatient accounts to determine issue causing denial or delay of payment;
- Submit written claim/payment disputes as necessary;
- Review denials related to ICD-10 and CPT codes
- Review medical necessity denials due to lack of documentation/insufficient coding.
- Prepare and submit appeals for authorization denials/administrative denials as necessary;
- Follow up on status for Physician/ Outpatient/ claims and/or denials;
- Communicate with other departments in order to have accounts reviewed and obtain additional information needed to dispute claims issues as needed
Required Qualifications:
- High School Diploma or GED, required
- Bachelors’ degree, preferred
- Coding certification, preferred
- Minimum 5 year in a healthcare accounts receivable and follow-up
- 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: From $65,000.00 per year
Benefits:
- 401(k)
- Dental insurance
- Employee assistance program
- Flexible schedule
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Parental leave
- Referral program
- Retirement plan
- Tuition reimbursement
- Vision insurance
Schedule:
- 8 hour shift
Work Location: In person
Salary : $65,000
