Rotech Healthcare.
- Lafayette, LA
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Permanent. -
Full-time.
Rotech Health Care Inc. is a nationwide leader in providing Breathing and Sleep Apnea treatment as well as house medical devices. Each and every day, countless employees contribute to providing exceptional client service and client care through hundreds of locations throughout 48 states. Additional info can be discovered at.
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TASK DETAILS
Summary
We are seeking a dedicated Medical Billing & Collections Audit Specialist to join our Billing Center Department. This position is responsible to review and respond to all Prepay and Post-Pay audits within the needed time frame.
Essential Responsibilities and Duties
- All manual re-billing audits are reviewed for accuracy and developed into manager for approval prior to publishing, insures release of claim
- Contacts doctor, centers, clients, or location to collect documentation required to react to an audit
- Documents all work performed in NAT notes in eIntake
- Makes sure excellent communication with areas and auditors
- Process all Payer appeal demands within the time frame required by the Payer
- Procedures all adjustments within iWorkQ
- Reports to BCC Supervisor any patterns, which will avoid future audits
- Deals with e-mails from BCC Supervisor/BCM and areas within 48 hours
- Reviews all post-pay and prepay audits for proper action and reacts within the time frame required
- Evaluations client info in IMBS to determine if a modification is valid
- Reviews the EMR to gather all paperwork for an audit
- Performs other tasks as appointed
Supervisory Obligations
- None
QUALIFICATIONS
Work is contingent on
- Background examination (company-wide)
- Drug screen (when suitable for the position)
- Valid driver’s license in state of house with a tidy driving record (when relevant for the position)
Education and/or Experience
- High school diploma or GED equivalent
- One to 3 years of associated previous work experience in a team-oriented environment
- Experience in medical field and administrative record management
- Strong customer care background
Skills, Knowledge and Abilities
- Efficiently communicate in English; both oral and written, with physicians, area employees and clients to ensure concerns and issues are processed in a timely manner
- Useful, experienced and courteous while preserving a positive attitude
- Translate a range of instructions in a range of communication mediums
- Understanding of insurance coverage and requirements
- Understanding of medical billing practices and of billing compensation
- Maintain confidentiality and practice discretion and care when dealing with sensitive details
- Medical terms
- Multi-task together with attention to information
- Read and successfully translate composed directions and/or directions in English
- Self-motivation, arranged, time-management and deductive problem solving skills
- Sense of urgency and responsiveness to physicians, area employees and clients
- Work independently and as part of a group
Physical Needs
- Requires sitting, walking, standing, talking or listening; comprehensive hours sitting at a desk
- Requires close vision to fine print on computer system and or documentation; comprehensive hours working on the computer system
Devices, Equipment and Technical Capabilities
- 12 key calculator
- Email transmission and communication
- Emdeon Claims Master and Payment Supervisor
- IMBS and eIntake systems
- Web navigation and research
- Microsoft applications consisting of however not restricted to Word, Excel, etc.
- Workplace devices; facsimile machine, copier, printer, phone and computer system
Work Environment
- Office environment
ROTECH INFORMATION
Benefits
- 401 k cost savings plan
- Medical, Dental and Vision
- Life Insurance Coverage and Disability
- Generous Paid Time Off Paid Time-Off (PTO), Floating Vacations (FHL) and Holidays
- Reward and Reward Opportunities (Non-Exempt and Exempt)
- Recommendation Perk, Employee Discounts and Acknowledgment Programs
- Career Path, Improvement and Management Opportunities
- Internet Wifi repayment (when applicable for the position)
- Cellular phone reimbursement (when suitable for the position)
- Mileage compensation (when applicable for the position)
Make the ideal relocation, Develop your job profile and Send your resume today !! The hiring manager will evaluate your resume and contact you if your qualifications match our needs.
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TEXT ROTECH TO 51893 TO JOIN OUR SKILL NETWORK
Level Playing Field Company of Minorities, Women, Protected Veterans and Individuals with Impairments. Rotech Healthcare Inc. recruits, employs, trains, promotes, transfers, separates from work and compensates workers without regard to membership in, association with, or understanding of race, color, age, gender, gender identity, religious beliefs, creed, national origin, ancestry, citizenship, marital status, veteran status, sexual orientation, physical or psychological impairment, pregnancy or any other individual particular safeguarded by appropriate federal, state and regional laws governing nondiscrimination in employment in each locality where Rotech has employees. Rotech Health Care Inc. is a DRUG FREE OFFICE.
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