Hospital Bill Audit Supervisor

Job Description

Job Description

The hospital bill audit nurse supervisor will maintain a positive team building approach with emphasis on overseeing the day to day functions of hospital bill audit nurses, reporting, leadership and professional communication with all CERiS departments.

This is a remote position.

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

• Utilize nursing education, experience and industry best practices to lead a team of registered nurses to plan, execute and deliver timely and accurate hospital bill audits
• Ensure accuracy of audits through acquired knowledge of client policies, provider contract information, and other standard guidelines
• Assist in the development and support of auditors to meet and exceed productivity requirements based on CERiS productivity standards
• Act as a point of contact to answer and resolve auditor issues with the goal of providing excellent customer service and relationship management
• Perform audits as necessary
• Keep manager informed of any issues that arise with audits or staff and escalate issues that cannot be resolved
• Research and respond to staff questions and concerns in a timely, professional manner
• Prepare and distribute reporting materials and team training presentations as directed by the manager
• Responsible for team training protocols as directed by the manager
• Knowledge of and understanding of all departmental policies and procedures as they relate to hospital bill audit
• Maintain teams with minimum assistance from manager
• Excellent interpersonal skills to maintain positive team culture and communicate with all CERiS clients both internal and external
• May be required to travel overnight and attend meetings or training of various for Hospital Bill Audit review. Must be willing to travel to provider facilities for onsite audits as needed
• Additional duties/responsibilities as assigned by manager and as needed to meet business needs

KNOWLEDGE & SKILLS:

• Knowledge and understanding of acute hospital billing requirements including UB-04’s, itemized bills, revenue codes, CPT/HCPCS codes, ICD10 diagnosis and procedure codes
• Knowledge and understanding of CMS, payor, and other industry guidelines required
• Ability to write and speak clearly, easily communicating complex ideas across multiple platforms
• Ability to think critically and work independently to meet deadlines and complete priorities
• Ability to remain poised in stressful situations and communicate diplomatically via telephone, computer, fax, correspondence, etc.
• Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets
• Exceptional organizational skills

EDUCATION & EXPERIENCE:

• Associate Degree in Nursing or higher required. BSN preferred
• Must maintain current licensure as a Registered Nurse in the state of employment
• Experience in hospital bill audit required
• Minimum of 5 years’ experience in the OR, ICU, or ER as an RN highly preferred

PAY RANGE:

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.

Pay Range: $76,207 – $117,662

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.

ABOUT CERiS:

CERiS, a division of CorVel Corporation, a certified Great Place to Work® Company, offers incremental value, experience, and a sincere dedication to our valued partners. Through our clinical expertise and cost containment solutions, we are committed to accuracy and transparency in healthcare payments. We are a stable and growing company with a strong, supportive culture along with plenty of career advancement opportunities. We embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

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