Remote Audit Specialist II - Healthcare Billing Compliance

Jobgether; United States; Remote; USD 37.000 - 55.000; Vollzeit

Benefits dieser Stelle

Hourly pay range: $27–$40 USD

Annual bonus eligibility

Healthcare coverage

401(k)

Paid time off: 18 days

Remote work within the United States

Tuition reimbursement

Zusammenfassung

Jobgether is listing an Audit Specialist II for CarepathRx, based in the United States. The role focuses on accuracy and compliance of healthcare billing and revenue cycle operations, especially for home infusion services. You’ll coordinate payer audits, review claims, and help resolve discrepancies.

Ideal candidates are detail-oriented, analytic, and knowledgeable about payer requirements, with strong communication skills. This is a fully remote opportunity within the United States.

Qualifikationen

• High school diploma or GED required.
• At least 3 years of experience in home infusion revenue cycle operations.
• Strong understanding of federal and state healthcare billing regulations and payer requirements.
• Proficiency in Microsoft Office Suite.
• Basic knowledge of medical terminology.
• Excellent verbal and written communication skills.
• Strong problem-solving, analytical, and customer service skills.
• Excellent interpersonal and organizational abilities, with strong attention to detail.

Aufgaben

• Coordinate and complete assigned payer audits within established deadlines and in accordance with audit program requirements.
• Review claim submissions for accuracy, identify discrepancies, investigate root causes, and communicate findings to leadership.
• Maintain up-to-date knowledge of federal and state regulations, payer guidelines, and reimbursement requirements.
• Conduct quarterly quality audits and perform quality checks for new employees until they achieve required accuracy standards.
• Perform claim denial audits and ongoing quality reviews of billing and collection activities.
• Identify recurring errors and support employee training initiatives to improve accuracy and reduce future discrepancies.
• Contribute to the development and improvement of SOPs.
• Prioritize multiple assignments and support special projects as needed.

Kenntnisse

Verbal & written communication

Analytical thinking

Problem solving

Customer service

Attention to detail

Ausbildung

High school diploma or GED

Tools

Microsoft Office Suite

CPR+ software

Jobbeschreibung

Jobgether is listing an Audit Specialist II for CarepathRx, based in the United States. The role focuses on accuracy and compliance of healthcare billing and revenue cycle operations, especially for home infusion services. You’ll coordinate payer audits, review claims, and help resolve discrepancies.

Ideal candidates are detail-oriented, analytic, and knowledgeable about payer requirements, with strong communication skills. This is a fully remote opportunity within the United States.