Audit Coordinator- Medicare Claims PHX
Looking for a way to utilize your Medicare claim knowledge? PHX is growing again and due to a new client requesting Medicare review and analysis, we need to add an Audit Coordinator to help manage this process.
Responsibilities include managing the complete claim audit process relating to this client?s Medicare claims and ensuring adherence to all payer procedures. Serve as primary point of contact to client as well as internal liaison to PHX staff as it relates to this payer's Medicare claim audits.
Serve as primary point of contact to client as well as an internal liaison to PHX staff as it relates to this client's Medicare claims
Manage complete audit process relating to client and adherence to all client procedures, including but not limited to: claim selection process, file upload process, medical record request coordination, generating finding and overpayment letters, etc.
Utilize client system platforms in order to execute the audit process
Work closely with internal teams such as Provider Services, Accounting, Account Management and Bill Review to ensure adherence to medical policy guidelines and client ground rule policies
Associate in Health Administration or related discipline strongly preferred
3+ years experience in Medicare claim review and processing
Knowledge of Medicare payment policies
Experience with quality, data integrity or process improvement in healthcare/claim management a plus
||Bedminster, NJ |