Payment Auditor
RemoteUnited States
Job Summary
Audit and identify patient accounts paid incorrectly based on active insurance contracts, then review, prioritize, and clear payment variance work queues within the Epic electronic health record system. Log, track, and document all underpayment discrepancies while partnering with payor contracting teams to recover identified revenue and communicate total collected metrics. Extract, manipulate, and analyze large datasets to isolate systemic contract non-compliance or payor underpayments, acting as an internal resource to answer complex reimbursement and contract structure questions. This full-time, remote role requires occasional weekend work and minimal travel.
Required Qualifications
- High school diploma, or equivalent
- Minimum 3 years of healthcare experience or a comparable combination of education and experience
- Ability to manipulate and analyze large amounts of data
- Strong foundational knowledge of medical billing practices and medical terminology
- Must be adept at multi-tasking and prioritizing a variety of tasks, often changing assignments on short notice in a fast-paced environment
- Strong analytical, critical thinking, and problem-solving skills
- Excellent verbal, listening, and written communication skills
- Skill in operating a computer and learning multiple software or hardware systems concurrently within an average workday
- Occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl
- Must occasionally lift or move up to 25 pounds
- Specific vision abilities required by the job include close vision, distance vision, peripheral vision, depth perception and the ability to adjust focus
- Full-time position
- Days and hours of work are generally Monday through Friday, 8:00 a.m. to 5:00 p.m.
- Position occasionally requires long hours and weekend work
- Minimal travel required; up to 5%
Desired Qualifications
- Direct experience handling payment variances or contract modeling within Epic
- Equivalent experience in managed care, health care finance, or healthcare information technology
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