What are the responsibilities and job description for the Auditor position at Napaanesthesia?
Auditor, Revenue Reconciliation (Remote)
Apply locations : Melville Corporate
Time type : Full time
Posted on : Posted 3 Days Ago
Job requisition id : JR9751 Melville, NY - USA
Position Requirements
RESPONSIBILITIES
- Prepare and review Audit Reconciliation reports to validate the accuracy of case volumes, and identify, reconcile, and post missed cases to ensure revenue capture.
- Conduct a pre-posting review of records on any missed cases identified during the Missing doc process, audit tracking, and Focused and Quality audits. Post any missed cases found during the Audit tracking process or identified during the Revenue Recovery audits.
- Track and trend compliance within the Missing Documentation Process utilizing scenarios to identify and quantify breakdowns in the process.
- Collaborate with cross-functional teams to complete posting and submit corrections in a timely manner.
- Perform pre-correction reviews of charge corrections to ensure the accuracy and adherence to payer guidelines and NAPA policies, avoiding any risk to revenue collected.
- Perform corrections in the billing system to ensure compliance with respective payer requirements.
- Analyze payer claim acknowledgment rejections collaboratively with the Accounts Receivable (A / R) department to identify root causes, implement corrective actions, and ensure timely and accurate claims processing and payment.
- Act as the escalation point for fast-tracking and resolving late charges in the billing system, for cases that are external to the standard RCM workflows. Tasks include uploading documents, verifying coding, conducting eligibility checks, data entry, calculating concurrency, and final posting for timely resolution.
- Assist Revenue Integrity leadership with special projects and other ad-hoc tasks.
- Research and stay current with payer requirements, specifically in the context of anesthesia billing.
REQUIRED QUALIFICATIONS
PREFERRED QUALIFICATIONS
TOTAL REWARDS :
The Revenue Reconciliation Auditor plays a crucial role in ensuring the reconciling of billed anesthesia cases with actual cases performed by NAPA providers. This involves independently managing multiple tasks, such as identifying scheduling issues, missed cases, and workflow breakdowns and inconsistencies. Under the supervision of the Audit Manager and Senior Auditor, the role requires the posting of missed cases, charge correction, and a detailed reconciliation review of scheduled cases. A thorough understanding of payer claim processing and familiarity with Front-end business services and Accounts Receivable workflows is essential for this position.
EEO Statement
North American Partners in Anesthesia is an equal opportunity employer.
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Salary : $21 - $28
