Medical Billing Data Analyst - RCM & Invoice Audit

Alivia Health; Guaynabo (PR); On-site; USD 42,000 - 62,000; Full time

Job summary

Alivia Health in Guaynabo, PR, seeks a RCM Data Specialist to audit and assign billing for managed plans on the Avizzor portal and to transmit cases in Accepted status.

You will verify invoices have required documents, compare charges between CPR+ and Avizzor, ensure service and prescription dates align, and confirm PA numbers match attachments.

The role requires a High School Diploma and a medical billing certification or equivalent with up to two years of billing experience.

Qualifications

• High School Diploma required.
• Certification as a medical plan biller or equivalent to 2 years of billing experience.

Responsibilities

• Check that each invoice has the supporting documents required by Avizzor. If any document is missing, locate it in CPR+ and attach it to the invoice.
• Validate that the total charges for each invoice are the same in CPR+ and Avizzor. Notify your Supervisor in case of discrepancy.
• Check that the service date is the same as the Deliver Ticket and that the prescription date matches the indexed one.
• Verify that the authorization number (PA) reported in Avizzor matches the attached authorization.
• Send all invoices that have Accepted status in Avizzor.
• Provide support and assistance in other tasks as necessary.

Education

High School Diploma

Job description

Alivia Health in Guaynabo, PR, seeks a RCM Data Specialist to audit and assign billing for managed plans on the Avizzor portal and to transmit cases in Accepted status.

You will verify invoices have required documents, compare charges between CPR+ and Avizzor, ensure service and prescription dates align, and confirm PA numbers match attachments.

The role requires a High School Diploma and a medical billing certification or equivalent with up to two years of billing experience.