United States onlyRevenue Integrity Specialist responsible for auditing reimbursement/payment audits, addressing requests for Care Center payment performance audits, and tracking/reporting outcomes of standard payer audits and Care Center audits.
Requirements
- High School Graduate
- 3+ years payer contracts (language) and/or auditing payer payments
- Strong understanding of a fee schedule and how claims are paid
- Advanced Microsoft Excel skills
- Analytical skills
- Experience working in Trizetto EOB resolve tool or equivalent use of contract management/software
- 3+ years of experience in a medical billing office preferred
- athenaOne software system experience is preferred
- Must comply with HIPAA rules and regulations
Benefits
- Medical, dental, vision, life, and pet insurance
- 401K
- Paid time off
- Wellness programs
- Annual bonus
