Medical Review Auditor Analyst
Description:
• Auditing medical bills for unrelated charges, overpayments/reimbursements, and overall accuracy.
• Assessing payments against regulatory or administrative charges, coding, and billing errors to identify inaccuracies in billing or reimbursement.
• Conducting medical audits using methodologies to identify healthcare overpayments and underpayments to providers.
• Applying knowledge of provider billing and patient accounting systems to ensure accurate research for potential overpayments.
• Developing, maintaining, and ensuring adherence to client policies, regulations, and guidelines.
• Performing other tasks as directed by management.
Requirements:
• Bachelor’s degree in Healthcare Administration, Business Management, or related fields is highly desired, but not required. Ten (10) years of hospital billing experience may substitute for a degree.
• Must have hospital business office experience.
• Strong mathematical skills to perform audits accurately.
• Excellent customer service skills with the ability to collaborate with teams across the USA to ensure success and customer satisfaction.
• Proficiency in Microsoft Office and industry-specific software.
• Experience in an auditing role, healthcare industry, or insurance is highly desired but not required.
• Experience in industries such as Accounting, Finance, or Healthcare Administration is a plus.
• Ability to thrive in a fast-paced environment.
• Must be self-sufficient and able to work independently without constant supervision.
• Comfortable working remotely and occasionally onsite at client locations or hospitals.
• Strong communication skills (interpersonal, written, and verbal).
• Must be dependable and willing to travel as required.
• Must have a valid driver’s license.
Benefits:
• Health and Welfare Benefits: Our health and welfare benefits can be tailored to fit your needs and start on the first day of employment.
• Retirement Savings: We support you as you invest in your future.
• Employee Discounts: We offer you access to a vast selection of global, national, and local discounts on merchandise, services, travel, and more.
• Career Growth Opportunities: We help you thrive, so together, we can grow. We provide opportunities to advance your career with a vast portfolio of businesses and a global footprint.
• Training: Earn while you learn and continue to grow with access to award-winning learning platforms throughout your Conduent career.
• Great Work Environment: We are proud of our award-winning culture and the recognition we’ve received for our diversity efforts.
Apply Now
Apply Now
• Auditing medical bills for unrelated charges, overpayments/reimbursements, and overall accuracy.
• Assessing payments against regulatory or administrative charges, coding, and billing errors to identify inaccuracies in billing or reimbursement.
• Conducting medical audits using methodologies to identify healthcare overpayments and underpayments to providers.
• Applying knowledge of provider billing and patient accounting systems to ensure accurate research for potential overpayments.
• Developing, maintaining, and ensuring adherence to client policies, regulations, and guidelines.
• Performing other tasks as directed by management.
Requirements:
• Bachelor’s degree in Healthcare Administration, Business Management, or related fields is highly desired, but not required. Ten (10) years of hospital billing experience may substitute for a degree.
• Must have hospital business office experience.
• Strong mathematical skills to perform audits accurately.
• Excellent customer service skills with the ability to collaborate with teams across the USA to ensure success and customer satisfaction.
• Proficiency in Microsoft Office and industry-specific software.
• Experience in an auditing role, healthcare industry, or insurance is highly desired but not required.
• Experience in industries such as Accounting, Finance, or Healthcare Administration is a plus.
• Ability to thrive in a fast-paced environment.
• Must be self-sufficient and able to work independently without constant supervision.
• Comfortable working remotely and occasionally onsite at client locations or hospitals.
• Strong communication skills (interpersonal, written, and verbal).
• Must be dependable and willing to travel as required.
• Must have a valid driver’s license.
Benefits:
• Health and Welfare Benefits: Our health and welfare benefits can be tailored to fit your needs and start on the first day of employment.
• Retirement Savings: We support you as you invest in your future.
• Employee Discounts: We offer you access to a vast selection of global, national, and local discounts on merchandise, services, travel, and more.
• Career Growth Opportunities: We help you thrive, so together, we can grow. We provide opportunities to advance your career with a vast portfolio of businesses and a global footprint.
• Training: Earn while you learn and continue to grow with access to award-winning learning platforms throughout your Conduent career.
• Great Work Environment: We are proud of our award-winning culture and the recognition we’ve received for our diversity efforts.
Apply Now
Apply Now