Revenue Cycle Reimbursement Auditor
$20 - $25 per hourFull-time
Titan Healthcare Management Solutions
Join a dynamic and innovative team dedicated to excellence in healthcare reimbursement. At Titan, we are committed to ensuring accurate and timely payments, fostering a collaborative environment where your skills will directly impact our mission of identifying underpayment patterns to maximize revenue recovery for our clients.
Essential Job Duties/Responsibilities
As a Reimbursement Auditor, you will play a pivotal role in ensuring our clients' claims are processed accurately and identifying areas where additional revenue can be pursued. Your responsibilities will include:
Minimum Qualifications
Work Environment
Performance Standards
Essential Job Duties/Responsibilities
As a Reimbursement Auditor, you will play a pivotal role in ensuring our clients' claims are processed accurately and identifying areas where additional revenue can be pursued. Your responsibilities will include:
- Audit Excellence: Conduct thorough audits of hospital insurance claims payments, including Medicare and Medicaid, ensuring compliance with coding rules and payment standards. Perform in-depth research to verify the accuracy of claim payments or the legitimacy of denials, including proactive communication with insurance plans when necessary.
- Contract Insight: Analyze contract language to identify potential areas for payment errors before they occur, contributing to proactive management of reimbursement processes.
- Error Identification: Detect and verify underpayments by insurance plans, ensuring accurate financial reconciliation for our hospital.
- Appeal Craftsmanship: Develop compelling appeal and grievance arguments, including precise calculations of short payments. Draft and submit appeal letters or reconsideration requests via various channels (phone, fax, email, or payor portal).
- Appeal Management: Review and audit paid appeal amounts to confirm accurate resolution. Draft and submit secondary appeals when necessary, ensuring comprehensive follow-up on underpaid accounts.
- Collaborative Collection : Assist in the collection of appeals by effectively communicating with insurance plans to expedite accurate payments when needed.
- Team Culture: Upholds organizational values to help foster a trusting and respectful work environment.
Minimum Qualifications
- In-Depth Knowledge: Expertise in Commercial, Medicare, and Medicaid claims, including a thorough understanding of billing, coding rules, and claim forms (UB04 and HCFA 1500) and reimbursement. Along with, detailed understanding of CPT/HCPCS and ICD10 coding.
- Analytical Skills: Proficiency in contract analysis and interpretation with at least 1 year of experience in contract analysis and hospital or physician claims auditing.
- Appeal Experience: Hands-on experience with payor reconsiderations and appeals, including drafting appeal letters and following up with payors.
- Technical Skills: Proficiency in Microsoft Office (Word and Excel) with at least 1 year of experience. Certification such as Certified Outpatient Coding (COC) or Certified Professional Coding (CPC) is preferred.
- Communication: Exceptional oral and written communication skills, with a focus on customer and client service.
Work Environment
- Work from home: your workspace should be large enough to work efficiently with reliable internet connectivity.
Performance Standards
- Attitude: Demonstrate a positive and professional demeanor toward supervisors, co-workers, and clients.
- Reliability: Show commitment and initiative in your role, with a strong focus on job performance and follow-through.
- Quality: Deliver high-quality work with attention to detail and accuracy.
- High school diploma or equivalent.
- Proficiency in Microsoft Office (Word and Excel) with at least 1 year of experience.
- 2 years prior experience in reimbursement auditing, contract and financial review.
- CPC-A, CPC preferred
Vacancy posted a month ago
Similar jobs that could be interesting for youBased on the Revenue Cycle Reimbursement Auditor in Arizona vacancy
- ...PFS - Revenue Cycle Auditor Job Category Professional Schedule Full time Shift 1 - Day Shift SUMMARY : The Revenue Cycle Auditor... ...performing hospital business office billing, coding, or reimbursement. LICENSURE OR CERTIFICATION : CPT/ICD-10 certification...ReimbursementFull timeWork at officeShift workDay shift
Tucson Medical Center
Tucson, AZ2 days ago - A regional healthcare provider in Tucson is seeking a Revenue Cycle Auditor. In this role, you will audit claims, ensure accurate billing and coding, and help staff understand billing practices. Candidates must have a high school diploma and three years of relevant experience...SuggestedFull time
- Blick Rothenberg (Previously Greenback Alan LLP) is seeking a Revenue Cycle Specialist in Phoenix, Arizona. The role involves ensuring timely reimbursements from insurance companies, managing office and surgical charges, and interacting with patients regarding outstanding...ReimbursementWork at office
- ...Vice President, Revenue Cycle Management About the Company Leading health care management company with 6,000+ customers nationwide... ...role requires a strategic leader with a deep understanding of reimbursement, payer dynamics, and revenue optimization. The VP will also...Reimbursement
Confidential
Phoenix, AZ3 days ago - Barrow-Brain-and-Spin in Phoenix, Arizona is seeking a Revenue Cycle Specialist to ensure timely reimbursements from insurance companies and assist patients with outstanding balances. You will be responsible for identifying delinquent accounts, researching insurance claims...Reimbursement
- ...Revenue Cycle Manager The Revenue Cycle Manager will be responsible for managing billing operations, optimizing revenue collection... ...carriers, and third-party billing vendors to ensure accurate reimbursement and compliance with payer contracts. Negotiate payer contracts...ReimbursementContract workRemote work
Women's Health Arizona
Phoenix, AZ1 day ago - ...Revenue Cycle Trainer At American Vision Partners (AVP), we partner with the most respected ophthalmology practices in the country... ...comprehensive knowledge of 3rd party billing requirements and reimbursement principle. Acts as a designated super user for patient...Reimbursement
American Vision Partners
Phoenix, AZ2 days ago $21 per hour
...Program, including access to mental health resources ~ Tuition Reimbursement up to $3,000 to invest in your growth and career advancement... ...for We're seeking a detail oriented, organized Revenue Cycle Specialist II to be able to identify and resolve complex claims...ReimbursementCopa Health
Mesa, AZ2 days ago- ...REMOTE AND ONSITE LOCATED IN WILLCOX, ARIZONA Position Summary The Revenue Cycle AR Biller is responsible for managing accounts receivable and ensuring accurate, timely reimbursement for hospital services. This role supports the revenue cycle by resolving...ReimbursementWork experience placementWork at officeMonday to FridayFlexible hours
Northern Cochise Health Services
Willcox, AZ2 days ago - ...Job Description TTF is recruiting for a Medical / Behavioral Revenue Cycle representative for a well-respected healthcare organization... ...Collections Representative, Medical Collector, Medical Reimbursement Specialist, Patient Account Rep, Patient Financial Representative...ReimbursementFull timeMonday to Friday
TTF Search and Staffing
Phoenix, AZ27 days ago - ...to another. We are looking for team members to join our Revenue Cycle Management department. We seek exceptional individuals who are... ...and correspondence with key stakeholders to ensure maximum reimbursement to the Company. The Specialist acts as a focal point within...ReimbursementFull timeWork at officeRemote workFlexible hoursShift workDay shift
Angel MedFlight
Scottsdale, AZ2 days ago $18 - $25 per hour
...lives of our patients. We are seeking a Medical Billing/Accounts Receivable (AR) Specialist to support our revenue cycle operations and ensure timely reimbursement. This role is an essential part of our team and offers the opportunity to grow within a supportive,...ReimbursementHourly payFull timeWork at officeMonday to FridayArizona Eye Consultants
Tucson, AZ3 days ago- ...Revenue Cycle Analyst Community Bridges, Inc. (CBI) is an integrated behavioral healthcare agency offering a variety of different... ...preferred. ~3 -5 years of experience performing healthcare reimbursement, behavioral health insurance/billing or related work. ~3 -...Reimbursement
$115k - $120k
...Insight Global is seeking an experienced Revenue Cycle Strategy Manager to lead the strategic direction and optimization of revenue cycle... ...payers, with deep expertise in Medicaid programs, reimbursement structures, and payer behavior. - Analyze trends in payer...ReimbursementPermanent employmentWork experience placementInsight Global
Scottsdale, AZ18 hours ago- Job Description Insight Global is seeking an experienced Revenue Cycle Management (RCM) Manager to lead and optimize revenue cycle operations... ...billing regulations, compliance standards, and payer reimbursement methodologies Experience with and competence in medical coding...ReimbursementWork experience placement
$87.7k - $100.24k
...Manager, Revenue Cycle Management, Financial Counseling What Financial Assistance Counseling (RCM) contributes to Cardinal Health... ...foundation support Maintain expertise in oncology-specific reimbursement, benefit designs, and emerging payer policies Ensure compliant...ReimbursementTemporary workLocal areaImmediate startFlexible hoursCardinal Health
Phoenix, AZ1 day ago- ...collection of invoices. Develops, documents, and implements revenue cycle processes to ensure accurate and timely billing and collection... ...environment involving government contracts and non-profit reimbursement for services and activities 2 years of experience supervising...ReimbursementContract workWork experience placementWork at office
$95k - $199.5k
...Description Oracle Health Government Services is seeking a skilled Revenue Cycle Project Manager to join our mission-driven organization. In... ...workflows, including billing, coding, claims, denials and reimbursement processes. ~ Proficiency in pulling, organizing, and...ReimbursementTemporary workFlexible hoursOracle
Phoenix, AZ2 days ago$60.8k - $82.9k
...Become a part of our caring community As a Revenue Cycle EDI Systems Analyst , you will report to the VP, RCM. You will be responsible... ...process improvements to reduce denials and accelerate reimbursements. Collaborate with FSU, IT and vendors to troubleshoot and...ReimbursementBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workHome officeCenterWell
Phoenix, AZ4 days ago- ...Clinical Application Specialist, Revenue Cycle/Scheduling - AZ The Clinical Application Specialist, Revenue Cycle/Scheduling reports... ...(Welcome & MyChart, Eligibility & Referrals, Benefits, Reimbursement, Charge Routing, Claims & Remittance) within 4-6 months of starting...ReimbursementFull timeTemporary workTraineeshipCasual workFlexible hours
Midwestern University
Glendale, AZ1 day ago - ...Lot Auditor Parking Management Company (PMC) is a national leader in hospitality-focused... ...Complete shift logs, track tickets and revenue, and document parking activity. Administrative... ...or to access mobile apps. Reimbursement will follow company policy when applicable...ReimbursementHourly payMinimum wageLocal areaShift workNight shift
Parking Management Services
Scottsdale, AZ18 hours ago - Clinical Application Specialist, Revenue Cycle/Scheduling - AZ Locations Arizona Therapy Institute Glendale, AZ 85308, USA Description... ...(Welcome & MyChart, Eligibility & Referrals, Benefits, Reimbursement, Charge Routing, Claims & Remittance) within 4‑6 months of starting...ReimbursementTemporary workTraineeshipCasual workLocal areaFlexible hours
- ...Independent Contractor - Collision Center Auditor Do you love working with high end,... ...CONTRACTOR opportunities that will add revenue and variety to your current line of business... ...Inspired to perform well by monetary reimbursement Entrepreneurial Spirit Inspired to...ReimbursementFull timeFor contractorsWork at officeRemote workWork from homeWorldwide
- ...Internal Auditor (Healthcare) Job Number: 24-725 Job Type: Full Time Regular Department: Revenue/Internal Audit City: Sacaton, AZ Location: 525 W. Gu U Ki Road... .... · Familiarity regarding third party reimbursement for 638 hospitals like Medicare/Medicaid...ReimbursementHourly payFull timeContract work
GovernmentJobs.com
Sacaton, AZ3 days ago $53.88k - $89.82k
...and retains the best and brightest talent in healthcare. Job Description Summary: Supervises Intake and Reimbursement Processes within the revenue cycle center in order to maintain a high quality of service while ensuring timely payment for services provided. Responsible...ReimbursementFlexible hours- ...and follows claims through the clearinghouse to payer adjudication; and performs post-billing tasks to support accurate, timely reimbursement. Monitors accounts receivable aging, completes proactive follow-up with payers and patients/families, processes adjustments, and...ReimbursementFlexible hours
Hospice of the Valley
Phoenix, AZ4 days ago $60.74k - $89.59k
...Join Valleywise Health as our Net Revenue & Treasury Analyst ! Bring your talents... ...role works closely with finance, revenue cycle, and treasury teams to ensure accurate revenue... ...proficiency. Knowledge of healthcare reimbursement methodologies and payer contracts....ReimbursementRemote workValleywise Health System
Tempe, AZ1 day ago- Job Title Full Cycle Medical Biller - Chiropractic /Therapy / Insurance Benefits/Specialty... ...is responsible for supporting the full revenue cycle, from insurance verification and... ..., while ensuring accuracy and timely reimbursement. The ideal candidate is detail oriented...ReimbursementFull timeWork at officeImmediate start
- A leading healthcare company seeks an experienced Inpatient Medical Coding Auditor to extract clinical information and ensure accurate reimbursement processes. This role involves reviewing hospital claims and making crucial coding decisions while working in a metrics-driven...ReimbursementRemote work
Humana
Phoenix, AZ2 days ago $71.1k - $97.8k
...part of our caring community The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records... ...coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven...ReimbursementBi-weekly payFull timeContract workTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to FridayHumana
Phoenix, AZ4 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Revenue Cycle Reimbursement Auditor. Be the first to apply!
