Audit Coordinator, Associate (R001) at Owens & Minor

Downers Grove, Illinois, United States

Not SpecifiedCompensation

Junior (1 to 2 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Excellent communication skills and ability to practice proper phone and email etiquette
Skilled in answering a telephone in a pleasant and helpful manner
Ability to read, understand, and follow oral and written instructions
Proficient with medical terminology and insurances HCPC/ICD-9 codes
Proficient in Microsoft Office, particularly Word, Excel, and Outlook
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists
Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule format

Documents activities in ERP system in an efficient, accurate, and timely manner
Log and report all received audit inquiries including: Prepayment audits/development letters, Post payment requests for documentation, Overpayment refund requests, Medical necessity documentation requests and cert audits, Billing/coding audits, Full scale random sampling audits
Gather and collate all existing documentation required including Proof of Delivery, billing forms, signature attestations, signature authorizations and assignment of benefits, letters of medical necessity, patient logs, etc
Review all documentation to be submitted for audit purposes for completeness and accuracy
Report to supervisor any apparent issues and coordinate submission of all required documentation
Work with billing and collection teams to assure timely submission of all appeals
Track and report audit findings and results
Evaluate and secure the needed Rx’s, PA’s and medical justification to facilitate payment of claims for initial and review/appeals payments
Edit and resubmit claims for payment
Prepare and review clean claims for submission to various insurances either electronically or by paper
Provide feedback to Group Team Lead regarding issues regarding accounts
Conduct routine tasks as directed; work under clearly defined guidelines
Contribute to specific objectives and outcomes as directed