The employee is responsible for preparation and submission of documentation to various Medicare contractors, while continuing to follow the audit through the levels of appeal for resolution.
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 continuing to follow the audit through the levels of appeal for resolution
Communicate Medicare policy and procedures to field and staff employees
Adjust A/R in accordance with Medicare policy
May serve as a backup when other employees are out
Work assigned Audit Delivery System reports
High School Diploma or General Education Degree (GED) required
General office skills such as proficiency in PC programs and data entry, typing, filing, and basic math are essential
Ability to learn, research, and apply insurance policy and medical terminology
Knowledge of telephone etiquette, as well as adequate oral and written communication skills
Detail-oriented
Shows effective multitasking skills
Positive and cooperative attitude in working and communicating with individuals at all levels of the organization