Post-Adjudication Auditor

NEUROMONITORING ASSOCIATES LLC

2d • Onsite

About The Position

The Post-Adjudication Auditor is responsible for evaluating claim outcomes after actions such as calls, appeals, or adjustments have been completed. This role ensures appropriate next steps are applied, whether that means closing the claim, escalating, further disputing, or routing it to another department. Acting as a quality control checkpoint, the Post-Adjudication Auditor reduces rework, strengthens resolution accuracy, and supports overall billing efficiency. The position also requires professional communication and strict adherence to departmental policies, procedures, and best practices.

Requirements

• High School Diploma or equivalent.
• Minimum of 2 years accounts receivable experience in the medical field required.
• Proficiency with medical terminology, insurance industry practices, and out-of-network billing.
• Proficiency with CPT, ICD-10 and HCPCS coding required.
• Ability to prioritize and handle multiple tasks in a changing work environment.
• Strong analytical skills with the ability to evaluate outcomes and recommend next steps.
• Excellent attention to detail and accuracy in documentation.
• Strong written and verbal communication skills.
• Ability to work independently and as part of a team.
• Proficiency in interpreting Explanations of Benefits (EOBs) and applying appropriate follow-up actions.
• Proficiency with Microsoft Office applications and database software.

Nice To Haves

• Bachelor’s degree preferred.

Responsibilities

• Review patient accounts and claims after actions have been taken (e.g., phone calls, appeals, adjustments).
• Determine whether claims should be closed, escalated, further disputed, or routed to another department.
• Take necessary actions to further dispute claims when appropriate.
• Provide quality control to ensure claim handling is accurate and complete, reducing errors and rework.
• Identify and report payer denial, payment, recoupment trends, and out-of-network errors to leadership.
• Prepare and maintain accurate documentation, files, and follow-up notes in accordance with departmental procedures.
• Respond to additional documentation requests (ADR), audits, and post-payment reviews as assigned.
• Scan all relevant claim and patient documents into the electronic health record (EHR).
• Track and analyze outcomes to identify patterns or areas for process improvement.
• Meet all established daily, weekly, and monthly performance metrics.
• Perform additional duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED