Hospital Bill Audit Supervisor

CorVel Corporation; United States; On-site; USD 76,207 - 117,662; Full time

Benefits offered by this job

Health Insurance

401K

Paid Time Off

Job summary

A healthcare auditing firm is seeking a Hospital Bill Audit Nurse Supervisor to lead a remote team responsible for hospital bill audits. The candidate should have a nursing background with at least 5 years of experience in acute settings and be adept at handling billing requirements. Responsibilities include ensuring audit accuracy, training auditors, and communicating effectively with internal and external clients. A comprehensive benefits package is included, and the position involves some required travel.

Qualifications

• 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.

Responsibilities

• Lead a team to execute hospital bill audits.
• Ensure accuracy based on client policies and guidelines.
• Act as a point of contact for auditor issues.

Skills

Knowledge of acute hospital billing requirements

Ability to communicate complex ideas

Critical thinking

Computer proficiency

Exceptional organizational skills

Education

Associate Degree in Nursing

BSN preferred

Tools

MS Office

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 escape 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.