Medicare Audit & Documentation Specialist

externallincarecareers; Missouri; On-site; USD 30,000 - 42,000; Full time

Job summary

externallincarecareers is seeking an Audit Documentation Specialist in Missouri. You will gather and prepare documentation for audit submissions and pursue additional materials to correct and complete files.

You will manage audits to multiple Medicare contractors and follow through appeals as needed. The role requires strong office skills, data entry, and the ability to learn and apply insurance terminology.

Qualifications

• High School Diploma or GED is required.
• Proficiency with PC programs, data entry, typing, filing, and basic math.
• Ability to learn, research, and apply insurance policy and medical terminology.
• Knowledge of telephone etiquette and strong oral and written communication skills.
• Detail-oriented with effective multitasking abilities.
• Positive, cooperative attitude when communicating across levels of the organization.

Responsibilities

• Gather and prepare all necessary documentation for audit submission, while continuing to pursue additional documentation and correction requests.
• Preparation and submission of audits to various Medicare contractors, while following the audit through appeal levels for resolution.
• Communicate Medicare policy and procedures to field and staff employees.
• Adjust accounts receivable in accordance with Medicare policy.
• May serve as a backup when other employees are out.
• Work assigned Audit Delivery System reports.

Skills

Office software

Data entry

Written communication

Multitasking

Detail-oriented

Telephone etiquette

Team player

Education

High School Diploma or GED

Job description

externallincarecareers is seeking an Audit Documentation Specialist in Missouri. You will gather and prepare documentation for audit submissions and pursue additional materials to correct and complete files.

You will manage audits to multiple Medicare contractors and follow through appeals as needed. The role requires strong office skills, data entry, and the ability to learn and apply insurance terminology.