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Byram Healthcare Audit Coordinator
| Company | Owens & Minor |
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| Location | Downers Grove, IL, USA |
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| Salary | $22.5 – $24 |
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| Type | Full-Time |
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| Degrees | |
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| Experience Level | Junior, Mid Level |
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Requirements
- Must possess excellent communication skills and the ability to practice proper phone and email etiquette
- Ability to read, understand and follow oral and written instructions
- Proficient with medical terminology and insurances HCPC/ICD-9 codes
- Documents activities in ERP system in an efficient accurate and timely manner
- Proficient in Microsoft Office, particularly Word, Excel and Outlook
Responsibilities
- Request Medical documentation and assure received documentation meets insurance payer guidelines
- Responsible for accurate and timely response to any audits received
- Log and report all received audit inquiries
- Gather and collate all existing documentation required
- 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
- Edit and resubmit claims for payment
- Prepare and review clean claims for submission to various insurances
- Provide feedback to Group Team Lead regarding issues regarding accounts
- Conduct routine tasks as directed; works under clearly defined guidelines
- Contribute to specific objectives and outcomes as directed
Preferred Qualifications
No preferred qualifications provided.
