Audit Coordinator II - Post Audit

Responsibilities:

• Make outbound collection calls to providers within the required timeframe.
• Document all call activity, follow up activity accurately in EXL Mine.
• Perform quality review of client letters, ensuring accuracy of format, spelling and grammar. 
• Generating and submitting Finding Files to the client timely and accurately. 
• Assist with onboarding new hires and Facilitate training sessions 
• Ensure completed audits are invoice timely and accurately.
• Ensure training materials are kept up to date to address requirements as they evolve over time
• Ensure that all invoicing for medical records, itemized bills and audit fees is handled and processed timely and accurately.
• Assist with troubleshooting common workflow and/or process issues and follow up to ensure resolution.
• Prepare client and internal reports and any ad hoc requests from Manager.
• Work with internal departments to resolve invoicing issues.
• Assist with the implementation of new workflows and process development 
• Ensure claims are moving through the workflow accordingly and are processed within the established timeframes. 
• Review inventory for accuracy and update workflow status as needed. 
• Responds to accounting or billing inquiries from providers.
• Serve as a liaison for internal and external clients, including screening phone calls, facilitating client communications to the appropriate POD manager.
• Interact with internal staff and client to re-price audits with validation/audit findings.
• Ensure all audit issues are documented in the applicable audit program Audit System.
• Escalate issues to management and handle for Follow Up action as needed.
• Participate in external operational conference calls with the client (where applicable).
• Provide assistance to other Audit Coordinators as needed.
• Comply with HIPAA and other regulations regarding confidentiality of information.
• Other duties as assigned to support the audit process and/or company-wide programs.

Required:

• Associate degree or relevant certification is a plus
• Minium of 1 year of experience in a call center or customer service environment required
• Experience in handing incoming and outbound calls and documenting outcomes accurately. 
• Revenue Cycle experience - knowledge of billing, invoicing, arranging payment methods, overseeing collections, accounts receivable, and proper financial statements.
• 1 years’ minimum experience working as a Claims Analyst or Claims Auditor in a managed care setting (hospital, health plan or physician office)
• Solid knowledge of Microsoft Office necessary, especially Excel, Word, and Outlook
• Highly organized, detail oriented and solid problem-solving skills
• Strong communication, including writing, speaking and active listening
• Able to make recommendations to improve and streamline processes to make more efficient 
• Ability to positively and comfortably handle and prioritize multiple tasks in a fast-paced environment with focused attention to detail
• High level of integrity and confidentiality
• Possesses time management skills; exhibits solid ability to prioritize work and perform multi-tasks.