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Job Description
- Reviews the day-to-day functions of the medical reports for Inpatient & outpatient credit billing department.
- Implements written policies and procedures that govern the accounting functions of the inpatient & outpatient facility.
- Makes written and oral reports/recommendations to the medical auditor's supervisor for inpatient & outpatient credit medical reports.
- Assists in standardizing the methods in which work will be accomplished.
- Develops and utilizes computer reports and output.
- Assists in preparing and implementation of changes in our accounting system as necessary or directed.
- Assists in Maintaining and preparing monthly claims for contracted companies.
- Responsible for reviewing all medical reports forms and back-up information required.
- Reviews the turnaround documents and co-insurance from Medicare.
- Responsible for Training new Medical Auditor juniors
- Responds to medical inquiries for companies, contracting, and clarifying the necessary medical services and medical procedures provided.
Job Requirements
- Problem-solving and analytical skills, as well as leadership and administrative skills.
- Ability to utilize sound judgment in making and implementing corrective action.
- Ability to accurately prepare daily, weekly, monthly, quarterly and annual reports.
- Strong organizational and interpersonal skills.
- Excellent verbal communication skills.
- Ability to work in a multicultural diverse environment and under pressure.
- Ability to handle confidential information in a sensitive and skillful manner.
- Take decisive action on opportunities to achieve specific outcomes.
- Solid proficiency with Microsoft Office Applications (Word, Excel, PowerPoint, and Outlook)
- Ability to plan, manage and follow through on assignments and communicate at all levels of the organization in a timely and professional manner.
- Management and organizational skills.
