Pre-Bill Auditor
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Job Location:
Murfreesboro, TN - USA
Monthly Salary:
Not Disclosed
Posted on:
3 days ago
Vacancies:
1 Vacancy
Job Summary
Our Company
Adoration Home Health and Hospice
Overview
Responsible for performing pre-bill audits to ensure billing requirements are met prior to submission of home health claims and working with the billing department and home health agencies to resolve billing issues timely.
Responsibilities
- Performs pre-bill audits to ensure billing requirements are met prior to claim submission
- Ensures physician orders are signed
- Ensures Face-to-Face Encounter documentation is present
- Ensures visit documentation is present for all visits to be billed
- Communicates with the billing department and home health agency regarding information needed to ensure timely and accurate filing of claims
- Assists the agencies with troubleshooting to resolve issues holding claims
- Provides support to agencies daily to ensure timely and accurate billing of claims
- Maintains knowledge of Medicare billing requirements
- Observes confidentiality and safeguard all patient related information
- Notifies Supervisor of problems in a timely manner and works to help provide solutions
- Completes ongoing education requirements and demonstrates ongoing competency in required areas
- Other duties as assigned
Qualifications
- High school graduate or GED
- Minimum of two (2) years of administrative experience in a health care environment preferably in home health and/or hospice preferred
- Knowledge of auditing concepts and principles medical documentation and billing requirements
- Sound knowledge of the framework organization and function of home health including eligibility requirements
- Proficient in the use of Microsoft Office (Word Excel Outlook Internet Explorer) with the ability to learn industry specific software applications
- Solid organizational skills thoroughness and a keen attention to detail with the ability to multi-task while prioritizing effectively
- Ability to work independently and in a team environment
- Excellent oral written and interpersonal communication skills
- Professional appearance and demeanors
About our Line of Business
Adoration Home Health and Hospice an affiliate of BrightSpring Health Services provides quality and compassionate services in the comfort of home providing support for patients families and caregivers in their time of need. Adoration was formed to fill the need for a loving community-focused caring organization. We empower patients to live with dignity find a sense of fulfillment and celebrate with their families a life well-lived. Our employees and caregivers are proud to be a part of the Adoration team and the mission of our company. For more information please visit . Follow us on Facebook and LinkedIn.
Required Experience:
IC
Key Skills
- Auditing
- Time Management
- ICD-10
- Accounting
- Component evaluation
- Workers' Compensation Law
- SOX
- Microsoft Excel
- CPT Coding
- Internal Audits
- Medicare
- Bookkeeping
About Company
Welcome to SpringHealth Behavioral Health & Integrated Care where we assist those we serve in reaching their highest level of independence.
