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Medical Billing & Collections Specialist (Audit)

Rotech

Posted on: 22 Mar 2024

Job Location: LaFayette, US

Job Description:

About Rotech

Rotech Healthcare Inc. is a national leader in providing ventilators, oxygen, sleep apnea treatment, wound care solutions, diabetic solutions and home medical equipment. We help patients lead a more comfortable and productive life by keeping them engaged in their care and empowering them to manage their health and treatment at home. Rotech provides high quality medical products, services and outstanding customer care through hundreds of locations across 45 states. For additional information, visit our company homepage Rotech.com

Overview and Responsibilities

Summary

We are seeking a dedicated Medical Billing & Collections Audit Specialist to join our Billing Center Division. This position is responsible to review and respond to all Prepay and Post-Pay audits within the required time frame.

Pay starting at $15

Mon - Fri scheduled shift / flex hours between 7am - 5pm

Essential Duties and Responsibilities

All manual re-billing audits are reviewed for accuracy and turned into supervisor for approval before posting, insures release of claim
Contacts physician, facilities, patients, or location to gather documentation needed to respond to an audit
Documents all work done in NAT notes in eIntake
Ensures good communication with locations and auditors
Process all Payer appeal requests within the time frame required by the Payer
Processes all adjustments within iWorkQ
Reports to BCC Supervisor any trends, which will prevent future audits
Resolves emails from BCC Supervisor/BCM and locations within 48 hours
Reviews all post-pay and prepay audits for appropriate action and responds within the time frame required
Reviews patient information in IMBS to determine if an adjustment is valid
Reviews the EMR to gather all documentation for an audit
Performs other duties as assigned

Qualifications

Employment is contingent on

Background investigation (company-wide)
Drug screen (when applicable for the position)
Valid driver's license in state of residence with a clean driving record (when applicable for the position)

Education and/or Experience

High school diploma or GED equivalent
One to three years of related prior work experience in a team-oriented environment
Experience in medical field and administrative record management
Strong customer service background

Skills, Knowledge and Abilities

Effectively communicate in English; both oral and written
Helpful, knowledgeable and polite while maintaining a positive attitude
Interpret a variety of instructions in a variety of communication mediums
Maintain confidentiality and practice discretion and caution when handling sensitive information
Multi-task along with attention to detail
Self-motivation, organized, time-management and deductive problem solving skills
Sense of urgency and responsiveness to physicians, location employees and patients
Work independently and as part of a team

Physical Demands

Requires sitting, walking, standing, talking or listening; extensive hours sitting at a desk
Requires close vision to small print on computer and or paperwork; extensive hours working on the computer

Machines, Equipment and Technical Abilities

12 key calculator
Email transmission and communication
Emdeon Claims Master and Payment Manager
IMBS and eIntake systems
Internet navigation and research
Microsoft applications including but not limited to Word, Excel, etc.
Office equipment; fax machine, copier, printer, phone and computer

Rotech Information

Benefits

401k
Medical, Dental and Vision
Life Insurance and Disability
Generous Paid Time Off and Paid Holidays
Employee Discount Program
Employee Recognition Program
Bonus and Incentive Opportunities
Mileage reimbursement (when applicable for the position)
Telephone reimbursement (when applicable for the position)

Make the Right Move and Submit your Resume Today! The hiring manager reviews resumes and contacts applicants that have related experience to the applied position. To view the status of a position that you submitted your profile to, Sign into your account . All positions are posted for a min of 5 days and positions are opened until filled with a qualified applicant, generally no greater than 200 days. We appreciate your interest in Rotech Healthcare Inc.

Equal Opportunity Employer of Minorities, Females, Protected Veterans and Individuals with Disabilities. Rotech Healthcare Inc. recruits, employs, trains, promotes, transfers, separates from employment and compensates employees without regard to membership in, association with, or perception of race, color, age, gender, gender identity, religion, creed, national origin, ancestry, citizenship, marital status, veteran status, sexual orientation, physical or mental disability, pregnancy or any other personal characteristic protected by applicable federal, state and local laws governing nondiscrimination in employment in each locality where Rotech has employees.

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