Job Title
Payor Audit Coordinator
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:
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Verify that the Plan of Care meets all requirements to process
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Ensure timely processing of signed Plan of Care
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Learn and maintain changes to Medicare F2F guidelines
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Track F2F progress and follow up any incomplete F2F until completed
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Enter F2F home health coordination notes into HCHB
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Communicate with physicians and referral sources to obtain F2F documentation
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Work with Sales departments on timely collection of F2F and order documents needed for audit submission
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Compile and review medical record documentation for payor audit submission
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Comply with Company’s Core Values and Core Competencies
Payor Audit Coordinator Requirements:
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Associate degree preferred
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Minimum two (2) year of experience in home care or hospice
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Knowledge of Medicare regulations and guidelines
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Familiarity with medical terminology preferred
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Proficiency with Microsoft Office suite
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Ability to learn and maintain changes to Medicare F2F guidelines
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Excellent customer service and verbal communication skills
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Outstanding organizational and communication skills
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Ability to work well in a team
About Graham Healthcare Group:
As an innovator in an evolving healthcare world, Graham Healthcare Group has been designing business and technology solutions to drive better care, outcomes, and productivity within its own home health and hospice companies for over 20 years. In the last several years, our solutions have been successfully integrated across the healthcare continuum.
Join Graham Healthcare Group and enjoy the following benefits:
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Competitive Pay: With opportunity for advancement
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Health and Welfare Benefits: Various medical, dental, and vision insurance options for you and your family to choose from.
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Supplemental Benefits: Company paid life insurance and disability benefits. Also, pre-tax FSA and HSA plans are offered.
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Generous PTO Packages: 15 days PTO that grows with your tenure, 6 paid holidays, 1 personal day.
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Retirement: Save for your future with our company offered 401k plan and pension.
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Company-Paid Education Programs: Grow your career by taking advantage of 50% discounts on tuition for selected courses offered by Purdue and Kaplan.
Benefits may vary based on your employment status.
NOTICE:
- Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana.
- By supplying your phone number, you agree to receive communication via phone or text.
- By submitting your application, you are confirming that you are legally authorized to work in the United States.
Graham Healthcare Group is an Equal Opportunity Employer
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What We Do
Graham Healthcare Group is a healthcare company that aims to built software and technology to improve health outcomes and productivity within its own home health and hospice facilities.
