Pre-Bill Auditor

Overview

Responsible for performing pre-bill audits to ensure billing requirements are met prior to submission of home health claims and working with the billing department and home health agencies to resolve billing issues timely.

Responsibilities

• Performs pre-bill audits to ensure billing requirements are met prior to claim submission
• Ensures physician orders are signed
• Ensures Face-to-Face Encounter documentation is present
• Ensures visit documentation is present for all visits to be billed
• Communicates with the billing department and home health agency regarding information needed to ensure timely and accurate filing of claims
• Assists the agencies with troubleshooting to resolve issues holding claims
• Provides support to agencies daily to ensure timely and accurate billing of claims
• Maintains knowledge of Medicare billing requirements
• Observes confidentiality and safeguard all patient related information
• Notifies Supervisor of problems in a timely manner and works to help provide solutions
• Completes ongoing education requirements and demonstrates ongoing competency in required areas
• Other duties as assigned

Qualifications

• High school graduate or GED
• Minimum of two (2) years of administrative experience in a health care environment, preferably in home health and/or hospice, preferred
• Knowledge of auditing concepts and principles, medical documentation, and billing requirements
• Sound knowledge of the framework, organization, and function of home health including eligibility requirements
• Proficient in the use of Microsoft Office (Word, Excel, Outlook, Internet Explorer) with the ability to learn industry specific software applications
• Solid organizational skills, thoroughness, and a keen attention to detail with the ability to multi-task while prioritizing effectively
• Ability to work independently and in a team environment
• Excellent oral, written, and interpersonal communication skills
• Professional appearance and demeanors

About our Line of Business

Adoration Home Health and Hospice, an affiliate of BrightSpring Health Services, provides quality and compassionate services in the comfort of home, providing support for patients, families, and caregivers in their time of need. Adoration was formed to fill the need for a loving, community-focused, caring organization. We empower patients to live with dignity, find a sense of fulfillment, and celebrate with their families a life well-lived. Our employees and caregivers are proud to be a part of the Adoration team and the mission of our company. For more information, please visit . Follow us on and .