Charge Auditor, Payor Relations

Job not on LinkedIn

🔥 1 minute ago

🐊 Florida, Illinois, +2 more states – Remote

🐊 Florida – Remote 🌽 Illinois – Remote 🌲 North Carolina – Remote 🤠 Texas – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Affordable Dentures & Implants

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1975

🏥 Healthcare

👥 B2C

Healthcare • B2C

Affordable Dentures & Implants is a U. S. -based dental services organization focused on providing dentures and dental implants. Founded in 1975 (per site content), the company operates a large network of clinics and affiliated implant providers and supports clinical teams with corporate business services, dental lab technicians, and practice support. The brand emphasizes affordability, clinical quality, and patient-focused care, and advertises career opportunities across clinical, laboratory, and corporate roles with a corporate support center in Research Triangle Park, NC.

📋 Description

• Establish and maintain a centralized fee schedule repository covering 100% of active contracts • Maintain and review fee schedule data for annual regulatory updates, payer-specific revisions, and bundled payment structures • Implement a fee schedule change log and governance process for amendments, escalators, and code updates • Review and audit contracted rate tables against payer agreements, allowables, and internal charge/rate references • Detect and document variances between billed amounts, contracted rates, and paid amounts across payer categories • Partner with Revenue Cycle Management to reconcile rate tables and correct configuration issues • Investigate underpayments, coding/billing mismatches, and rate-table configuration problems • Implement semi-annual fee schedule audits to identify reimbursement leakage • Resolve rate configuration problems, prevent recurring errors, and recover missed reimbursements • Build and deliver audit summaries, trend reports, recommendations, monthly dashboards, and semi-annual executive reporting • Conduct quarterly business reviews with strategic payors • Perform other duties as assigned by the Director, Payor Relations

🎯 Requirements

• Bachelor's degree in Business, Finance, Healthcare Administration, or a related field required; equivalent experience considered in lieu of degree • 3+ years of experience in charge auditing, revenue cycle management, payer contracting, or a related healthcare finance role • Experience working with contracted rate tables, fee schedules, and payer reimbursement methodologies • Strong analytical and reconciliation skills, with the ability to detect variances and root causes in complex rate data • Advanced proficiency in Excel and other data analysis or business intelligence tools • Strong cross-functional communication skills, with the ability to partner effectively with RCM • Excellent organizational skills, with the ability to build and maintain governance processes and reporting cadences • Detail-oriented with the ability to manage multiple priorities and deadlines independently • Applicants must be authorized to work for any employer in the U.S.; employment visa sponsorship is unavailable