Technical Pre-Bill Auditor - Continuing Care- Atrium Health at Home Cleveland
Technical Pre-Bill Auditor - Continuing Care- Atrium Health at Home Cleveland
Posted on :
16-04-2025
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1 Vacancy
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Job Description
Description
May carry stoop climb or otherwise be physically active during job duties. May have extended periods of sitting and/or computer work. Periodically drives to and from patient homes or to regional meetings in varied weather and traffic conditions.
Job Summary
Supports the prebilling review of claims for all payers to ensure that appropriate compliant and timely billing occurs for assigned branch locations. Conducts technical audits as prescribed by branch policy & procedure and as directed by leadership. Maintains current knowledge on billing compliance requirements for payors. Provides organizational and branch leadership with timely reports updates and recommendations for educational opportunities as it relates to audit outcomes. Acts as the liaison with the Branch Leadership and Billing Dept. and participates in regularly established communication/meetings with the branch to ensure timely monthend close.
Essential Functions
- Performs prebill auditing workflow per service line to ensure all branch issues are worked timely and accurately.
- Runs assigned prebill reports and monitors indicators for trends and barriers to meeting agency billing metrics.
- Stays current in EMR system and identifies system issues processes and/or opportunities for enhancements to ensure accurate and efficient billing.
- Stays current with all general payer requirements for compliant billing practices as well as state and federal regulations.
- Compiles and provides reports from clinical audit outcomes monthly for quarterly review with Operations.
- Participates in Billing/Operations and/or Compliance meetings as requested.
- Provides activities/action items to improve team member engagements supports cultural diversity and an open work environment of positive interdepartmental communication.
May carry stoop climb or otherwise be physically active during job duties. May have extended periods of sitting and/or computer work. Periodically drives to and from patient homes or to regional meetings in varied weather and traffic conditions.
Education Experience and Certifications
Employment Type
Full-Time
Key Skills
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