Demo

Medical Billing Auditor

Trinity Employment Specialists
Oklahoma, OK Full Time
POSTED ON 2/5/2025
AVAILABLE BEFORE 3/6/2025

Medical Billing Auditor | Medical Insurance Denial Representative

OKC, OK M-F 8a-5p

$17-20/HR

  • Experience reading EOBs
  • Work denials and understand denial codes and modifiers
  • 2 years current experience required


The Billing Office Representative is responsible for processing medical claims. Duties include for verifying all patient information, preparing and filing medical claims, verifying claims have been billed correctly, researching why payment not received, requesting medical records and handling any additional documentation as required.


Essential Functions:


  • Verify all patient billing information
  • Process claim in Billing system - data entry
  • Scan paperwork to imaging system
  • Follow up with insurance carrier for payment / denial
  • Send information to appropriate department for completion
  • Request for medical records as needed
  • Rebill and appeal claims as needed
  • Assist with medical billing & medical coding
  • Perform other duties and tasks, as assigned



HS Diploma or Equivalent; Medical Billing & Coding Certification Preferred


2 years of Medical Billing or Insurance Denial Rep experience


#BA


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* Examine, analyze, and interpret accounting records to prepare financial statements, give advice, or audit and evaluate statements prepared by others. Install or advise on systems of recording costs or other financial and budgetary data.
* Prepare detailed reports on audit findings.
* Report to management about asset utilization and audit results, and recommend changes in operations and financial activities.
* Collect and analyze data to detect deficient controls, duplicated effort, extravagance, fraud, or non-compliance with laws, regulations, and management policies.
* Inspect account books and accounting systems for efficiency, effectiveness, and use of accepted accounting procedures to record transactions.
* Supervise auditing of establishments, and determine scope of investigation required.
* Confer with company officials about financial and regulatory matters.
* Examine and evaluate financial and information systems, recommending controls to ensure system reliability and data integrity.
* Inspect cash on hand, notes receivable and payable, negotiable securities, and canceled checks to confirm records are accurate.
* Examine records and interview workers to ensure recording of transactions and compliance with laws and regulations.
* Prepare, examine, or analyze accounting records, financial statements, or other financial reports to assess accuracy, completeness, and conformance to reporting and procedural standards.
* Prepare adjusting journal entries.
* Review accounts for discrepancies and reconcile differences.
* Establish tables of accounts and assign entries to proper accounts.
* Examine inventory to verify journal and ledger entries.
* Analyze business operations, trends, costs, revenues, financial commitments, and obligations to project future revenues and expenses or to provide advice.
* Report to management regarding the finances of establishment.
* Develop, implement, modify, and document recordkeeping and accounting systems, making use of current computer technology.
* Evaluate taxpayer finances to determine tax liability, using knowledge of interest and discount rates, annuities, valuation of stocks and bonds, and amortization valuation of depletable assets.
* Examine whether the organization's objectives are reflected in its management activities, and whether employees understand the objectives.
* Audit payroll and personnel records to determine unemployment insurance premiums, workers' compensation coverage, liabilities, and compliance with tax laws.
* Review taxpayer accounts, and conduct audits on-site, by correspondence, or by summoning taxpayer to office.
* Compute taxes owed and prepare tax returns, ensuring compliance with payment, reporting, or other tax requirements.
* Advise clients in areas such as compensation, employee health care benefits, the design of accounting or data processing systems, or long-range tax or estate plans.
* Represent clients before taxing authorities and provide support during litigation involving financial issues.
* Direct activities of personnel engaged in filing, recording, compiling, and transmitting financial records.
* Conduct pre-implementation audits to determine if systems and programs under development will work as planned.
* Develop, maintain, or analyze budgets, preparing periodic reports that compare budgeted costs to actual costs.
* Prepare, analyze, or verify annual reports, financial statements, and other records, using accepted accounting and statistical procedures to assess financial condition and facilitate financial planning.
* Process invoices for payment.
* Review data about material assets, net worth, liabilities, capital stock, surplus, income, or expenditures.

Salary : $17 - $20

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