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Audit Specialist - Revenue Cycle (INTERNAL)

Ankeny, IA | Corporate | Billing | Full-Time, Remote

Summary

The Billing Audit Specialist is responsible for the proactive oversight of claims quality assurance. This position will conduct monthly claims audits to ensure claims submitted are in compliance with state, federal, and all applicable healthcare billing regulations, as well as meet company best practices and policies. This position works closely with Revenue Cycle leadership and the Chief Compliance Officer. This position is remote, but the candidate must be located in Iowa.

Position Responsibilities may include, but not limited to

  • Develop timelines for auditing and manage auditing according to the audit schedule
  • Perform and manage monthly audits, as assigned ensuring accurate demographic information; supporting documentation; and accurate billing
  • Review charge information, claim forms, and insurance portals to determine if billing, claims submission, and follow up is being performed in an accurate and timely manner; ensure billing has supporting documentation; and analyze trends to identify areas of non-compliance
  • Prepare findings and reports to Compliance on all findings from internal monitoring; coordinate with Compliance Officer on any compliance investigations
  • Create reports to be shared with internal stakeholders to drive compliance and process improvements
  • Educate staff when deficiencies in supporting documentation and/or billing are identified
  • Support external and internal audit queries

Required Skills and Experience

  • Healthcare compliance or previous healthcare billing and/or auditing experience
  • 2+ years of work-related experience in healthcare related field, i.e., healthcare billing of institutional and/or professional claims
  • Intermediate computer skills, including Microsoft Outlook, Word, and Excel
  • Strong oral and written communication skills
  • Excellent customer service skills
  • Excellent healthcare account receivable skills
  • Strong ability to multitask and close attention to detail
  • ability to complete work in a timely manner and by deadlines
  • Strong ability to work with team members across multiple departments
  • Ability to work unsupervised with strong critical thinking and problem solving skills
  • Ability to follow established policies and procedures
  • Routine problem solving abilities

Preferred Skills and Experience

  • Associate’s degree or current pursuit of Associate’s degree in medical administrative assistance or healthcare finance
  • AAHAM certification a plus. AAHAM CCT certificate will be expected in the first year.

Physical Requirements

  • Repetitive motions that include the wrists, hands and/or fingers
  • Sedentary work that primarily involves sitting, remaining in a stationary position for prolonged periods
  • Visual perception to perform job including peripheral vision, depth perception, and the ability to adjust focus
Company Overview

Mom’s Meals is a home-delivered meal service providing fully prepared, refrigerated meal solutions direct to homes nationwide for over 25 years. We provide seniors, patients recovering post-discharge and those managing a chronic condition with tailored nutrition solutions to manage their specific needs. If you are passionate about the well-being of others and have a strong sense of community, Mom’s Meals could be the place for you! We are a family operated business looking for fun, compassionate, and friendly people who want to make a difference in the lives of others.


EEO

Mom’s Meals complies with all applicable federal and state non-discrimination laws. All qualified applicants shall receive consideration for employment without regards to race, religion, national origin, ancestry, color, gender, age, disability, sexual orientation or military status.

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EEO Statement: Mom’s Meals provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, immigration status, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Equity and Diversity Statement: At Mom’s Meals, we recognize our team members possess a wealth of experience and talent beyond the technical requirements of a job. Our employees are amazing people who come from a wide variety of backgrounds—it’s what sets us apart and makes us stronger as a company. Diversity of experience and skills combined with passion and desire to help others is essential in our success. That is why we encourage team members from all backgrounds to apply to our open positions. Please contact us if you have questions or require accommodations during the interview process.

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