HCA, Hospital Corporation of America Hospital Bill Audit Coordinator - Parallon in Norcross, Georgia
Hospital Bill Audit Coordinator
Job Summary – Assist in managing and analyzing hospital bill audits by third party payers. Position will serve as liaison between payors, hospitals, and the Shared Service Center (SSC) regarding status of pending, ongoing and finalized audits. Position will evaluate the requests received by the payors to assess if the request is within the terms established by contracts and in accordance with the Hospital Bill Audit by Third Party Payers Policy. Position will notify appropriate responsible parties of reviews and maintain documentation of audit requests, current status, and outcomes of audits in a centralized location. Position will track and trend types of audits received and report findings to Manager.
Supervisor – Revenue Integrity Manager
Supervises – N/A
Key Interactions – Interacts and coordinates handoffs of audits between responsible SSC departments such as Revenue Integrity for insurance charge audit reviews, HSC for coding or DRG related reviews and Ethics and Compliance and HCA – Regulatory Compliance Support (Regs) for government audits. Position will communicate with payor representatives related to audit request and coordination of audits to be performed.
Duties (included but not limited to):
Analyze and approve audit requests received from payors
Interact with payor to resolve questions or concerns related to coordination of audit request
Maintain tracking of audits and coordinate obtaining the medical record for auditor to perform on-site audits
Communicate approved and denied insurance defense audits
Maintain statistical data as required
Practice and adhere to the "Code of Conduct" philosophy and "Mission and Value Statement"
Other duties as assigned
Knowledge, Skills & Abilities
Excellent communication skills both verbal and written
Good interpersonal skills
Able to establish good customer relationships with trust and respect
Excellent organizational skills
Ability to work with limited supervision
Excellent statistical skills
Computer skills: navigation and edit resolution through various Web based systems, ability to use email, Excel, Word.
Knowledge of payer contract requirements preferred but not required
Associate degree preferred; Equivalent work experience may substitute.
Three years of hospital business office or related financial experience preferred.
Project management and payor contract experience preferred.
Title: Hospital Bill Audit Coordinator - Parallon
Location: Georgia-Norcross-Shared Services - Atlanta
Requisition ID: 26013-124783