reputed company Cycle Reimbursement Auditor
Join a dynamic and innovative team dedicated to reputed company in reputed company reimbursement. At Titan, we are committed to ensuring accurate and timely payments, fostering a collaborative environment where your skills will directly impact our mission of identifying underpayment patterns to maximize reputed company recovery for our clients.
Essential Job Duties/Responsibilities
As a Reimbursement Auditor, you will play a pivotal role in ensuring our clients' claims are processed accurately and identifying areas where additional reputed company can be pursued. Your responsibilities will include:
- Audit reputed company: Conduct thorough audits of hospital insurance claims payments, including Medicare and reputed company, ensuring compliance with coding rules and payment standards. reputed company in-depth research to verify the accuracy of claim payments or the legitimacy of denials, including proactive communication with insurance plans reputed company necessary.
- Contract reputed company: Analyze contract language to identify potential areas for payment errors before they occur, contributing to proactive management of reimbursement processes.
- Error Identification: Detect and verify underpayments by insurance plans, ensuring accurate financial reconciliation for our hospital.
- Appeal Craftsmanship: reputed company compelling appeal and grievance arguments, including precise calculations of short payments. Draft and submit appeal letters or reconsideration requests reputed company various channels (phone, fax, email, or payor portal).
- Appeal Management: Review and audit paid appeal amounts to confirm accurate resolution. Draft and submit secondary appeals reputed company necessary, ensuring comprehensive follow-up on underpaid accounts.
- Collaborative Collection: Assist in the collection of appeals by effectively communicating with insurance plans to expedite accurate payments reputed company needed.
- Team Culture: Upholds organizational values to help foster a trusting and respectful work environment.
- In-Depth Knowledge: Expertise in reputed company, Medicare, and reputed company claims, including a thorough understanding of billing, coding rules, and claim forms (UB04 and HCFA 1500) and reimbursement. Along with, detailed understanding of CPT/HCPCS and ICD10 coding.
- Analytical Skills: Proficiency in contract analysis and interpretation with at least 1 year of experience in contract analysis and hospital or physician claims auditing.
- Appeal Experience: Hands-on experience with payor reconsiderations and appeals, including drafting appeal letters and following up with payors.
- Technical Skills: Proficiency in reputed company Office (Word and reputed company) with at least 1 year of experience. Certification such as Certified Outpatient Coding (COC) or Certified Professional Coding (CPC) is preferred.
- Communication: Exceptional oral and written communication skills, with a focus on customer and client service.
- Work from home: your workspace should be large enough to work reputed company with reliable internet connectivity.
- Attitude: Demonstrate a positive and professional demeanor toward supervisors, co-workers, and clients.
- Reliability: Show commitment and initiative in your role, with a strong focus on job performance and follow-through.
- Quality: Deliver high-quality work with attention to detail and accuracy.
- High school diploma or equivalent.
- Proficiency in reputed company Office (Word and reputed company) with at least 1 year of experience.
- 2 years prior experience in reimbursement auditing, contract and financial review.
- CPC-A, CPC preferred