Compliance & Education Auditor, Patient Financial Services, Full Time, First Shift
About The Position
The Compliance & Education Auditor reviews unit staff work for accurate data entry and complete demographic, financial, and benefit information collected for each patient. The role provides staff feedback on audit results and helps develop and implement educational materials. Its goal is to minimize financial risk to the organization by ensuring accurate and complete insurance verification. The position performs quality audits of demographic, financial, benefit-collection, and insurance-verification documentation; records and distributes audit findings; and discusses results with staff as needed. It evaluates department-wide results to identify trends and education opportunities. The role also develops and implements staff training, helps maintain procedure manuals, supports staff with system issues and verification or documentation questions, and maintains knowledge of payor websites and online verification tools. The auditor attends staff and payor meetings, communicates process changes, maintains the skills needed to function as an insurance verification associate, and performs other assigned duties.
Requirements
- High school diploma or GED.
- 1–2 years of equivalent experience working in Patient Access, Insurance Verification, Registration/Pre-Registration, and Benefit Collection.
Nice To Haves
- 3–5 years of equivalent experience working in Patient Access, Insurance Verification, Registration/Pre-Registration, and Benefit Collection.
Responsibilities
- Perform quality audits of demographic, financial, benefit-collection, and insurance-verification documentation.
- Record audit information and distribute it to management and staff.
- Meet with staff as needed to discuss audit results.
- Evaluate department results to identify trends and education opportunities.
- Develop and implement training materials and classes for staff.
- Assist with developing and updating procedure manuals.
- Serve as a resource for staff on system issues, benefit and insurance verification, and proper documentation.
- Maintain knowledge of payor websites and online verification tools.
- Attend staff and payor meetings.
- Help communicate process changes to staff.
- Maintain the skills needed to function as an insurance verification associate.
- Perform other duties as assigned.
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
