

Job Information
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
TEXT ROTECH TO 51893 TO JOIN OUR TALENT NETWORK
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)
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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