PAR Audit Coordinator

AbleNet•Roseville, MN

6d•$58,000 - $65,000

About The Position

The PAR Audit Coordinator is responsible for performing client file audits to ensure that all the documentation required by the client’s insurance company has been collected and is accurate for successful prior authorization submission to the insurer in the timeframes defined by management. As part of the medical funding process, this role will work collaboratively with other AbleNet staff to provide an improvement-centric service experience with both internal and external customers.

Requirements

Excellent written and verbal communication skills
Ability to actively participate and work in cross-functional teams throughout the company
Efficient problem analysis and problem-solving skills
Must be self-motivated and able to work alone and within a team
Must be responsible and willing to take on responsibilities
Ability to apply general rules to specific problems to produce answers that make sense
Ability to multi-task under pressure efficiently and accurately
Ability to adapt to fast-changing environment
Computer literate and demonstrated ability to learn new programs
Data entry and/or account management skills
Demonstrated track record of identifying and implementing process improvements
High School diploma, GED or equivalent
2+ years Customer Service and coordination experience

Nice To Haves

Some college preferred
Some experience working with medical insurance preferred

Responsibilities

Responsible for reviewing and auditing all client files before submitted to the client’s insurance firm to ensure that all the required documentation is completed. This includes but is not limited to medical release, speech evaluation, quote, DME Order, and additional documentation requested by the medical insurance firm
Make necessary edits and/or capture new documentation when needed to ensure successful prior authorization submission
Follow up on missing or incomplete documentation as needed to ensure timely submission
Maintain accurate records of client documentation, interactions, and updates in accordance with HIPAA policies
Assist in responding to inquiries via email, phone, fax, and chat in a professional and timely manner
Accurately update systems, trackers, and databases to reflect case status and audit readiness
Support internal coordination across departments such as IT, compliance, and customer service
Identify and flag trends or recurring issues in documentation for potential process improvements
Work as a cross-functional team member that contributes to department and company goals
Demonstrate the core medical funding service department philosophies: Listen, Learn, and Lead
All other duties as assigned by supervisor