[Hiring] Medical Billing Auditor @Alumus

Role Description

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.

• 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.

Company Description

Aleca Home Health is a rapidly growing Home Health agency currently serving patients in Arizona and Washington. We pride ourselves on being a Medicare & CHAP certified Home Health agency committed to providing "Care with Compassion" to our community. Our comprehensive services include nursing, physical therapy, occupational and speech therapy, social work, and home health aides, all delivered in the comfort of our patients' residences.