Job is Expired
Location: Alabama, Arizona, Arkansas, Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin
Compensation: To Be Discussed
Staff Reviewed: Fri, Sep 22, 2023
Job Summary
A company is looking for a Payment Audit Specialist for a virtual work from home position.
Responsibilities:
- Thoroughly review managed care and insurance contracts to identify underpayments and denials
- Model contract terms and rates in contract management software
- Contact insurance companies to resolve underpayments and arrange for payment processing
Qualifications:
- Minimum 2 years of experience in hospital reimbursement or payment review
- Basic understanding of Medicare, Medicaid, and third-party reimbursement guidelines
- Experience with coding systems such as ICD-10, DRG, CPT-4, and HCPCS
- Knowledge of UB04s
- Proficiency in MS Office Suite, particularly Excel
