2014-04-21

Post Payment Support - Lombard, IL 60148
M-F, 7am – 3:30pm or 8am – 4:30pm
Contract-to-Hire
Pay: $10.50/hour
Background check + 10-panel drug screen
Start: ASAP

 

Large healthcare solutions company that strives to make doctor’s lives a little easier by making the servicing of medical accounts more simple and efficient, is looking to add a motivated Post Payment Support Processor to add to their team.  The Post Payment Audit Processor is a multi-incumbent role where each position with this job title will primarily focus on one area of expertise:  Pre-Audit, Medical Record Retrieval, or Post Audit.   Amazing role for a great company!

 
Detailed Description  

Generate provider medical record requests and verify accuracy.

Prepare mailings, including provider audit result notification letters, provider and client related Post Payment Audit Services correspondence.

Monitor designated status codes in accordance with policies and procedures as assigned and resolve issues to ensure timely audit completion.

Perform quality assurance checks.

Phone calls to providers to follow up on medical record requests.

Demonstrate commitment to the company’s core values.

The position responsibilities outlined above are in no way to be construed as all encompassing.  Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.

 
JOB RESPONSIBILITIES SPECIFIC TO AREA OF EXPERTISE:
Pre-Audit

Process incoming medical records, prepare them for scanning, scan, review the scanning error log, correct any scanning errors

Utilize E-Sort to index medical records

Retrieval:

Complete routine, follow up calls to providers to confirm receipt of Medical Record request, audit agreement, or UB request

Document all case notes regarding case follow up per department Policies and Procedures.

Communicate with providers.

Manage their assigned medical records retrieval inventory release

Post Audit:

Generate and edit all provider and client related Post Payment letters.

 
Requirements

Minimum high school diploma or equivalent (i.e. GED)

Minimum 1 year experience in office or clerical position

Ability to use software, hardware, and peripherals related to job responsibilities, including MS Office

Ability to multi-task

Experience with Right Fax and Alchemy

Communication, organization, analytical, and problem solving skills

Detail oriented

Knowledge of auditing preferred; ability to understand auditing

 

If you are interested in this great opportunity, please forward your resume for immediate consideration.

  

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