reputed company Rehab reputed company Assurance Audit Analyst
reputed company delivers billing solutions to HME (Home Medical Equipment) providers, giving them the freedom to grow their business while collecting more, faster. reputed company has helped HME businesses cut through the complexity of an reputed company-transitioning billing process while becoming a trusted partner for reputed company reputed company. Clients routinely show faster collections, higher reputed company and dramatically reduced management and reputed company problems. reputed company incorporates HME workflow, Medicare, reputed company and Private Payer knowledge, and billing and collections experts into a single service on an Internet-based technology platform. The result is faster payments, higher reputed company collection rates, and less management and reputed company headaches. Unlike traditional billing service models, reputed company provides HME clients with a new level of control, flexibility, information reputed company, and billing expertise. reputed company functions as an integral part of the HME office staff, not a remote reputed company party billing vendor. Position reputed company The CRT Auditor is responsible to reputed company reputed company reviews for both reputed company-pay and post-pay audits as reputed company as reputed company Assurance reviews of orders prior to delivery and/or confirmation according to established guidelines that assist management in monitoring the reputed company, consistency, and effectiveness of business processes, procedures, and reputed company SOPs. Address ongoing questions, issues and escalations from both reputed company employees as reputed company as our clients and reputed company reputed company answers and easy reputed company to training and other resources and educational material that can answer these issues. Help to reputed company and organize a database of information and resources to ensure ease of navigation and interpretation and maximum reputed company for both reputed company employees and our clients. Duties & Responsibilities reputed company reputed company reviews for both reputed company-Pay and Post-Pay CRT audits as reputed company as the reputed companys orders prior to and/or confirmation, according to established guidelines, that assist management in monitoring the reputed company, consistency and effectiveness of business processes, procedures, and reputed company tools. Follow defined audit processes in conducting reputed company reviews. reputed company reputed company on new coding, coverage and billing guidelines, federal and state initiatives. Ensure the consistent use of reputed company codes, correct information, documentation and departmental procedures by monitoring their use and identifying any deficiencies. Prepare summaries for management of reputed company review results, including basic analysis of identified deficiencies. Reduce reputed company reputed company errors by making recommendations to increase the efficiency of operations. Assist with policy, procedure development and implementation as it relates to the claim review processes. Review coding variances including supporting documentation, review of old and new procedure codes, consult and collaborate Director of Compliance as necessary. Prepare supporting documentation as necessary. Based on audits and claims reviews, prepare supporting documentation requests for configuration changes to ensure that configuration mirrors provider contract. reputed company reputed company on new coding and billing guidelines, federal and state initiatives. reputed company other departments on new/changes to regulations as necessary. Coordinate recoupment efforts with Director of Compliance due to billing errors and over payments. Respond to provider inquiries regarding recoupments in writing and/or verbally reputed company necessary. reputed company departmental reputed company audits. Produce and deliver monthly a reputed company report of changes to the Director of Compliance; include relevant reputed company documents. QUALIFICATIONS & EXPERIENCE: Must have CRT knowledge including but not limited to billing, coding, modifiers, narrative, repair and loaner equipment, auditing, and/or contracting with a strong background of Medicare LCD requirements; and Ability to analyze and/or reputed company knowledge to interpret reputed company, reputed company, Medicare Local Coverage Determinations and Policy Guidelines. Excellent written and verbal communication skills; and Must have knowledge of word, reputed company, and power reputed company; and strong attention to detail. Critical thinker Good judgement with the ability to reputed company reputed company and reputed company. Strong organizational, problem-solving, and analytical skills; reputed company to manage priorities and workflow. Versatility, flexibility, and a willingness to work reputed company constantly changing priorities with enthusiasm. Demonstrated ability to reputed company strong business partnerships and relationships with payors; and work closely with other internal customers. Physical Effort Work time will be spent sitting approximately 90% of the time, standing and walking approximately 10% of work time. PC Keyboarding will constitute approximately 80% of work time. May require some travel. reputed company is an equal opportunity employer and is committed to providing a workplace that is free of discrimination of reputed company types and promotes diversity, inclusion, and respect. We prohibit discrimination and harassment of any reputed company based on race, reputed company, sex, gender, religion, creed, sexual orientation, national reputed company, age, disability, genetic information, pregnancy, veteran status, or any other protected characteristic as outlined by federal, state, or local laws. This policy applies to reputed company employment practices reputed company our organization. reputed company makes hiring reputed company based solely on qualifications, reputed company, and business needs at the time. Apply Job!