Audits & QI Coordinator - Remote

Encompass Health; Dallas (TX); Remote; USD 40,000 - 60,000; Full time

Job summary

A leading health service provider seeks a remote Medicare Billing Specialist to conduct claim audits and quality assurance reviews. This role requires a high school diploma and offers competitive benefits like extensive paid time off and a 401k match. Ideal candidates will have experience in Medicare billing and excellent communication skills, helping to foster a fairy workplace environment and career growth opportunities.

Benefits

Comprehensive insurance plans

Generous paid time off – up to 30 paid days off per year

401k retirement savings plan with employer match

Employee scholarship program to support further education

Qualifications

• Minimum two years of experience with Medicare billing or related functions.
• Ability to manage time efficiently and work independently.

Responsibilities

• Perform end-of-episode claim audits for Medicare patients.
• Conduct quality face-to-face reviews for new admissions.
• Manage billing responsibilities, maintaining unbilled claims under 10%.

Skills

Effective communication

Strong organizational skills

Time management

Independence

Work ethic

Education

High school diploma or equivalent

Tools

Tableau

Job description

Employer Industry: Home Health & Hospice Services

Why consider this job opportunity:
- Opportunity to work remotely from home
- Competitive benefits including comprehensive insurance plans (medical, dental, and vision)
- Generous paid time off – up to 30 paid days off per year
- 401k retirement savings plan with employer match
- Employee scholarship program to support further education
- Promote-from-within philosophy, fostering career advancement

What to Expect (Job Responsibilities):
- Perform end-of-episode claim audits for Medicare patients according to current protocols
- Conduct quality face-to-face (F2F) reviews for new admissions
- Execute quality assurance (QA) audits as directed
- Follow up on open billing issues within two working days
- Manage billing responsibilities to maintain unbilled claims at 10% or less of total branch revenue

What is Required (Qualifications):
- High school diploma or equivalent
- Minimum of two years of experience with Medicare billing or related functions
- Effective communication skills
- Strong organizational skills and ability to manage time efficiently
- Ability to work independently with a strong work ethic

How to Stand Out (Preferred Qualifications):
- Previous experience in quality assurance audits or similar roles
- Familiarity with data analytics tools such as Tableau

#HomeHealth #MedicareBilling #RemoteWork #CareerGrowth #EmployeeBenefits

We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately.
We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer.