Interested in joining a fast-growing company with EVERY Friday off? As an Auditor on MRI’s Audit & Recovery team, you'll help build a growing organization, win over hospital, health system, and surgery center clients with superior customer service and service offerings. You’ll be a critical part of the growth of an emerging leader in hospital revenue cycle solutions. You will work alongside MRI team members to execute project plans which enhance the bottom-line profits for our clients.
The Auditor will be responsible for activities focused on assessing/analyzing third party payments, including Managed Care, Medicare, and Medicaid, as it relates to hospital insurance reimbursement. This includes recording and analyzing data, filing appropriate appeals based on findings to ensure additional payment is received in a prompt manner.
Essential Duties and Responsibilities:
- Leverage data-mining and reimbursement modeling tools to review and identify underpayments/denials which are due for additional reimbursement from the payer
- Identify and document underpayment root causes by contacting payers via phone and through review of client systems and account documentation
- Submit written appeals detailing expected reimbursement and clearly outlining reasons for additional payment, including citation of contract language, policies, and industry standard in a persuasive manner
- Gain knowledge of general hospital policies and procedures, hospital underpayments, and revenue cycle maximization opportunities
- Ensures productivity and quality standards are met
- Participate in internal client meetings, contributing to a greater understanding of project and initiative progress
- Coaches/Partners with other team members
- Identify and research new placement concept opportunities
- Assist in client reporting
- Strict adherence to HIPAA privacy and security rules, including following MRI policy at all times
- All other duties as assigned
Knowledge, Skills, Abilities:
- Strong analytical, technical, and creative problem-solving skills
- Demonstrated ability to analyze, understand, and communicate complex issues and trends.
- Demonstrated interpersonal skills. Ability to clearly articulate goals and expectations to team members and communicate results to MRI Management.
- Customer-service orientation with ability to independently interact with a range of personalities and styles to establish effective relationships internally & externally.
- A positive and optimistic attitude that is maintained despite tight deadlines and competing priorities.
- Genuine enthusiasm for working for an evolving start-up with the ability to embrace new ideas.
- Ability to consistently demonstrate high personal ethics, integrity, prudence, energy, initiative, and self-confidence.
Education/Experience:
- Bachelor’s degree with Healthcare, Business, or relevant background preferred
- Relevant professional experience within Hospital/Insurance industry preferred
- Expertise within the MS Office Suite including Excel, Word, Outlook, and Access preferred
Compensation and Benefits:
- Four (4) day work weeks
- Competitive salary commensurate on relevant experience
- Paid time off and holidays
- Health insurance package (partially paid by employer)
- 401(k) plan with employer match after one year of service
Must work a minimum of 40 hours per week.