Payor Audit Coordinator

Payor Audit Coordinator

Remote/Nationwide, USA

time type

Full time

 

Location

Remote/Nationwide, USA

 

Additional Location(s)

 

Employee Type

Employee

 

Working Hours Per Week

40

 

Job Description

Graham Healthcare Group is seeking a remote Payor Audit Coordinator who communicates with referral sources and obtains timely and accurate Face-to-Face (F2F) documentation; as well as ensures audit packages are responded to on a timely basis.

 

Payor Audit Coordinator Responsibilities:

• Verify that the Plan of Care meets all requirements to process

• Ensure timely processing of signed Plan of Care

• Learn and maintain changes to Medicare F2F guidelines

• Track F2F progress and follow up any incomplete F2F until completed

• Enter F2F home health coordination notes into HCHB

• Communicate with physicians and referral sources to obtain F2F documentation

• Work with Sales departments on timely collection of F2F and order documents needed for audit submission

• Compile and review medical record documentation for payor audit submission

• Comply with Company’s Core Values and Core Competencies

 

Payor Audit Coordinator Requirements:

• Associate degree preferred

• Minimum two (2) year of experience in home care or hospice

• Knowledge of Medicare regulations and guidelines

• Familiarity with medical terminology preferred

• Proficiency with Microsoft Office suite

• Ability to learn and maintain changes to Medicare F2F guidelines

• Excellent customer service and verbal communication skills

• Outstanding organizational and communication skills

• Ability to work well in a team

 

About Graham Healthcare Group:

• Competitive Pay:  With opportunity for advancement 

• Health and Welfare Benefits:  Various medical, dental, and vision insurance options for you and your family to choose from. 

• Supplemental Benefits: Company paid life insurance and disability benefits.  Also, pre-tax FSA and HSA plans are offered. 

• Generous PTO Packages:  15 days PTO that grows with your tenure, 6 paid holidays, 1 personal day. 

• Retirement:  Save for your future with our company offered 401k plan and pension.

• Company-Paid Education Programs:  Grow your career by taking advantage of 50% discounts on tuition for selected courses offered by Purdue and Kaplan.