Sonic Healthcare USA

  • A/R Audit Specialist

    Job Location US-TX-Round Rock
    Posted Date 3 weeks ago(3 weeks ago)
    Type
    Regular Full-Time
    Shift
    First shift
  • Overview

    Under limited supervision: analyze various forms of payments, A/R processes and procedures for financial or application discrepancies.

    Responsibilities

    • In-depth review of Explanation of Benefits for underpayments and/or inappropriate adjustments or credits.
    • Process Insurance appeals for underpaid claims or claims not paid according to valid negotiated contractual agreement on file.
    • Review of various A/R processes to ensure accuracy and compliance.
    • Auditing of internal and external CPL functions to guarantee maximum financial return.
    • Adhere to established CPL billing policies, practices, and procedures.
    • Perform other duties as assigned.

    Qualifications

    Scope:  Effectively audit/review, monitor and execute action for a positive resolution for any A/R process, procedure or function not meeting or limiting maximum financial return.   Operates general Accounts Receivable equipment, including but not limited to: telephones, computer keyboards, fax machines, copiers, and printers.  Must be able to communicate via written, verbal, face-to-face, telephone or through the internet in a professional manner.

     

    Education:  High school diploma or GED

     

    Experience:  Medical Insurance Billing, Medical terminology, Medical Reimbursement, Insurance Follow-up and CPT/ ICD-9 experience a must.

     

    Skills:  Knowledge of microcomputer technology and terminology.  Skill in use of personal computers and mainframes in a networked environment using on-line records is required.  Must be able to type a minimum of 30 words per minute and must have 10-key ability.  Develop effective and harmonious work habits and relationships.  Ability to read and comprehend English.

    Additional Information

     Must be able to successfully complete pre-employment background check and drug screen, EOE

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