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Rotech Healthcare Inc. Medical Billing & Collections Audit Specialist in LAFAYETTE, Indiana

Join the Leader in the Home Healthcare Industry

Rotech Healthcare Inc. is a national leader in providing Respiratory and Sleep Apnea treatment as well as home medical equipment. Each and every day, thousands of employees contribute to delivering outstanding customer service and patient care through hundreds of locations across 45 states. For additional information, please visit our company homepage www.rotech.com

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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.

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

Supervisory Responsibilities

  • None

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, with physicians, location employees and patients to ensure questions and concerns are processed in a timely manner

  • Helpful, knowledgeable and polite while maintaining a positive attitude

  • Interpret a variety of instructions in a variety of communication mediums

  • Knowledge of insurance policies and requirements

  • Knowledge of medical billing practices and of billing reimbursement

  • Maintain confidentiality and practice discretion and caution when handling sensitive information

  • Medical terminology

  • Multi-task along with attention to detail

  • Read and successfully interpret written directions and/or instructions in English

  • 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

Work Environment

  • Office environment

Benefits

  • 401k

  • Medical, Dental and Vision

  • Life Insurance and Disability

  • Generous Paid Time Off and Paid Holidays

  • Bonus and Incentive Opportunities (Non-Exempt and Exempt)

  • Mileage reimbursement (when applicable for the position)

  • Telephone reimbursement (when applicable for the position)

Make the Right Move, Create your Profile 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 / resume to, Sign into your account. We appreciate your interest in Rotech Healthcare Inc.

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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. Rotech Healthcare Inc. is a DRUG FREE WORKPLACE

REQ #: 2021-10857

Street: 3701 ROME DRIVE

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