Auditor, Revenue Reconciliation (remote)

North American Partners In Anesthesia • Melville, NY

298d • $20 - $28 • Remote

About The Position

North American Partners in Anesthesia (NAPA) has evolved through more than 30 years to be a leader in anesthesia and perioperative services. Single specialty and clinician led, we remain committed to our mission of delivering exceptional patient experiences, every day. At NAPA, we cultivate leaders, promote work-life balance, and celebrate diversity. We know your success promotes our success, and we give you the tools and programs to achieve your goals. With flexibility, a collegial and collaborative environment, a wide range of market-leading benefits, and career opportunities from coast-to-coast, your future is waiting at NAPA.

Requirements

• Minimum 3 years of Medical Billing experience
• CPC or equivalent is required or must be obtained within 1 year.
• Proficiency in auditing and data analysis specific to medical billing and revenue reconciliation.
• Understanding of Revenue Cycle Management, payer policies, and HIPAA Compliance
• Proficient in document management systems, EMRs, and medical billing systems.
• Strong computer skills, including Office 365
• Ability to multitask and give attention to detail.
• Ability to work independently and as an integral part of the team.
• Exceptional organizational and time management skills.
• Effective communication skills, both verbally and in written text.

Nice To Haves

• Associate degree preferred.
• Experience in Anesthesia billing.
• Experience in A/R.

Responsibilities

• Prepare and review Audit Reconciliation reports to validate the accuracy of case volumes, and identify, reconcile, and post missed cases to ensure revenue capture.
• Conduct a pre-posting review of records on any missed cases identified during the Missing doc process, audit tracking, and Focused and Quality audits. Post any missed cases found during the Audit tracking process or identified during the Revenue Recovery audits.
• Track and trend compliance within the Missing Documentation Process utilizing scenarios to identify and quantify breakdowns in the process.
• Collaborate with cross-functional teams to complete posting and submit corrections in a timely manner.
• Perform pre-correction reviews of charge corrections to ensure the accuracy and adherence to payer guidelines and NAPA policies, avoiding any risk to revenue collected.
• Perform corrections in the billing system to ensure compliance with respective payer requirements.
• Analyzing payer claim acknowledgment rejections collaboratively with the Accounts Receivable (A/R) department to identify root causes, implement corrective actions, and ensure timely and accurate claims processing and payment.
• Act as the escalation point for fast-tracking and resolving late charges in the billing system, for cases that are external to the standard RCM workflows. Tasks include uploading documents, verifying coding, conducting eligibility checks, data entry, calculating concurrency, and final posting for timely resolution.
• Assist Revenue Integrity leadership with special projects and other ad-hoc tasks.
• Research and stay current with payer requirements, specifically in the context of anesthesia billing.

Benefits

• Paid Time Off
• Health, life, vision, dental, disability, and AD&D insurance
• Flexible Spending Accounts/Health Savings Accounts
• 401(k)
• Leadership and professional development opportunities

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Ambulatory Health Care Services
• Education Level: Associate degree