|Category:||Administrative / Professional|
|Type:||Temp to Perm|
|Description:|| QA AUDITOR |
Audit all Workers Compensation bills re-priced through “Medata or Bridge”.
Meet/exceed audit productivity and quality standards to maintain the integrity of the claim/bill.
Maintain and report individual and team claim/bill backlogs, ensuring that all claims are QA’d within printed receive dates, audited within objective 3-5 day TAT goal.
Determine error sources and accurate entry of claim audits, document with accuracy in QA Printing Production Excel log kept on Folks2 drive
Interpret and understand carrier contracts “CQ” and basic knowledge of state guidelines compliance, and HIPPA regulations.
Review error trend reports and participate in rebuttal process for continuous improvement; providing feedback to Quality Assurance and CDT teams.
Provide one-on-one training as needed with associates and actively participate in Quality Assurance Team meetings.
Perform focused audits, working with varying types of data.
Complete other clerical or support duties as assigned.
Lead by example, demonstrate good promptness and adhere to company policies for yearly attendance
Production - QA minimum 200 packages/bills with overall monthly average of same
Quality – Daily average minimum of 96% with overall monthly average of same
|Requirements:|| QUALIFICATIONS |
Detail-oriented with strong organizational, time management and problem-solving abilities.
Preferred extensive knowledge of general workers compensation billing procedures including knowledge of CPT Coding, ICD-10, and HCPC
Strong organizational, time management and project management skills with multi-tasking abilities.
Manage multiple priorities, maintain confidentiality, and display a courteous, patient, and helpful attitude toward employees.
Basic understanding of HIPPA policies and procedures.
Ability to multi-task, adapt quickly to change and follow projects through completion
MS Office Products; Word, Excel and Outlook experience
|Job Location:||King of Prussia, PA|
|Synerfac Branch:||Philadelphia, PA|
|Synerfac Branch Phone:||(610) 660-8020|