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AdaptHealth logo
AdaptHealth

Empowering patients to live their best lives

Audit Specialist

IT SupportIT SupportFull TimeRemoteJuniorTeam 10,001+Since 2019H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

53 days ago

Salary

0

Seniority

Junior

High School1 yr expExperience acceptedEnglish

Job Description

Audit Specialist

AdaptHealth

• Responsible for maintaining the process and timely response to billing compliance audits conducted by Medicare, Medicaid, and commercial health plans. • Analyze health plan reimbursement policies for coverage and documentation requirements. • Ensure patient file documentation for completeness and accuracy. • Initiate and respond to inquiries regarding obtaining additional supporting medical necessity documentation. • Log and report all received audit inquiries. • Retrieve documentation for audits. • Contact various teams to obtain additional supporting documents. • Review documentation for audit purposes and report any issues.

Job Requirements

  • High School Diploma or equivalent
  • One (1) year work related experience in health care administrative, financial, or insurance customer services, claims, billing, call center or management regardless of industry.
  • Senior level requires two (2) years of work-related experience and one (1) year of exact job experience.
  • Exact job experience is considered any of the above tasks in a Medicare certified HME, Diabetic, Pharmacy, or home medical supplies environment that routinely bills insurance.

Benefits

  • None stated

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