Audit Specialist

CarepathRx transforms hospital pharmacy from a cost center into an active revenue generator through a powerful combination of technology, market-leading pharmacy services and wrap-around services.

Job Details:

The Audit Specialist facilitates the auditing of home infusion claims for quality within the Revenue Cycle process.

Responsibilities

• Effectively prioritize and complete all assigned tasks.

• Complete quality audits on new employees until accuracy threshold is met.

• Performs claim denial audits.

• Complete ongoing quality audits on billing and collection activity.

• Assist with training on recurring errors found during quality audits.

• Assist in development of Standard Operating Procedures.

• Performs in accordance with system-wide competencies/behaviors.

Qualifications

• Minimum 4 years’ experience in home infusion revenue cycle

• Strong knowledge of Federal and State billing guidelines

• Experience with CPR+ software

• Competence in Microsoft Office products.

• Working knowledge of basic medical terminology required.

• Excellent verbal and written communication skills.

• Strong customer service orientation.

• Competence in Microsoft Office required, including Excel, Access, and Word.

• Must possess strong interpersonal and organizational skills, with the ability to work on multiple tasks simultaneously.

CarepathRx provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country.