Payor Audit Coordinator

Graham Healthcare Group

2d•Remote

About The Position

Communicate with referral sources and obtain timely and accurate Face-to-Face (F2F) documentation. Ensure audit packages are responded to on a timely basis.

Requirements

Associate degree preferred
Minimum two (2) year of experience in home care or hospice
Knowledge of Medicare regulations and guidelines
Familiarity with medical terminology preferred
Proficiency with Microsoft Office suite
Ability to learn and maintain changes to Medicare F2F guidelines
Excellent customer service and verbal communication skills
Outstanding organizational and communication skills
Ability to work well in a team
Must have and maintain in good standing professional license, certificate, or registration, as applicable.

Nice To Haves

Familiarity with medical terminology preferred
Associate degree preferred

Responsibilities

Verify that the Plan of Care meets all requirements to process
Ensure timely processing of signed Plan of Care
Learn and maintain changes to Medicare F2F guidelines
Track F2F progress and follow up any incomplete F2F until completed
Enter F2F home health coordination notes into HCHB
Communicate with physicians and referral sources to obtain F2F documentation
Work with Sales departments on timely collection of F2F and order documents needed for audit submission
Compile and review medical record documentation for payor audit submission
Comply with Company’s Core Values and Core Competencies
Perform other duties as assigned by supervisor