Audit Specialist

🔥 10 minutes ago

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AdaptHealth

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2019

📦 Logistics

🏭 Manufacturing

🏥 Healthcare

Logistics • Manufacturing • Healthcare

AdaptHealth is a company that provides healthcare solutions with a focus on respiratory health, sleep health, diabetes health, and wellness at home. With a network of 671 locations in 47 states, AdaptHealth delivers 38,225 home medical supplies each day and holds 2,825 insurance contracts. The company is dedicated to empowering patients to live their best lives, offering products and services such as CPAP machines, oxygen supplies, diabetes supplies, and a variety of medical equipment. AdaptHealth is highly rated by its customers for fast, reliable, and courteous service. They emphasize patient care solutions that integrate seamlessly into daily life, supported by online support and fast shipping services. Their mission is to change lives by providing the necessary healthcare tools to patients nationwide.

📋 Description

• Responsible for maintaining the process and timely response to billing compliance audits • Analyze health plan reimbursement policies for coverage and documentation requirements • Maintain and review all required documentation for insurance coverage and reimbursement • Log and report all received audit inquiries • Retrieve all documentation including proof of delivery and medical necessity documentation • Contact teams to obtain additional supporting documents • Review documentation for completeness and accuracy • Report to supervisor any issues and coordinate submission of documents • Scan and upload audit requests and results • Assist with tracking and reporting of audit findings

🎯 Requirements

• High School Diploma or equivalent • One (1) year work related experience in health care administrative, financial, or insurance customer services, claims, billing, call center or management regardless of industry • Knowledge of Medicare, Medicaid, and commercial health plan reimbursement methodologies and documentation requirements • Strong proficiency in Microsoft Office: Excel, Word, Outlook

🏖️ Benefits

• Health insurance • 401(k) matching • Flexible working hours • Paid time off