Auditor, Quality Control

Sunrise,FL - USA

Position Requirements

To work on registration and audit daily work done by offshore Data Entry teams. Ensure there is no delay with charges and that the charges are being posted correctly within the billing system. Determine if insurance received from facility is accurate and eligible for our Anesthesia services and update accordingly.

Responsibilities and Duties :

• Manage and process assigned work queues in a timely and productive manner with high quality.
• Send requests for new surgeons to be added to the billing system
• Recommend vendor education based on errors found while resolving work queue tasks
• Review and correct insurance-related payor codes
• Determine eligibility, insurance product and plan types for patient accounts utilizing, Availity, payer websites, contact with payers, and hospital's EMR.
• Ensures all insurance information is obtained and entered in the system in an accurate manner.
• Identify discrepancies in patient insurance information and corrects the insurance information within the billing system timely.
• Reviews medical records, patient demographic sheets / face sheets and EMR systems. Make changes to the patient's account based on information reviewed

Qualifications :

DESIRED / PREFERRED QUALIFICATIONS :

Total Rewards

EEO Statement

North American Partners in Anesthesia is an equal opportunity employer.