Accounts Receivable Quality Assurance Auditor

🔥 2 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $24 - $27 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔧 QA Engineer (Quality Assurance)

👻 Ghost score 0%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.Why this score:

• Just posted.
• Jobs at this company usually fill in 24 days.

Apply Now

Find Similar Remote Jobs

Brault

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1990

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • Healthcare Insurance • Data Analytics

Brault is a company specializing in End-to-End Revenue Cycle Management (RCM) and practice management services tailored for healthcare providers, particularly in acute care settings. With over 25 years of experience, Brault offers customized solutions in areas such as coding and billing, provider education, practice analytics, and operational support to help physician groups and hospitals navigate the complexities of healthcare management. Led by Dr. Andrea Brault and a team of experts, the company is dedicated to enhancing the efficiency and effectiveness of healthcare practices nationwide.

📋 Description

• Audit daily work completed by billing staff, including claim submissions, follow-up activities, and collection efforts • Review account documentation, actions taken, and billing outcomes within the billing system to ensure accuracy, completeness, and compliance • Identify errors, discrepancies, and trends that may impact reimbursement, operational efficiency, or regulatory compliance • Provide detailed audit findings, feedback, and recommendations to billing staff and leadership • Monitor, address, and audit special projects and programs, including credit card chargebacks, high-priority payer follow-up, and AB75 • Collaborate with team leads, supervisors, and managers to develop, implement, and refine policies, procedures, and workflows based on audit results • Assist with training and education of staff on documentation standards, payer requirements, billing procedures, and industry best practices • Participate in quality assurance initiatives and prepare reports for leadership summarizing audit results, performance trends, and improvement opportunities • Maintain current knowledge of industry regulations, payer policies, and billing software updates applicable to medical billing and accounts receivable • Support internal and external audit requests by gathering documentation, performing reviews, and responding to audit inquiries • Perform manual tasks within Cross Workflow, including AR Support Requests and AR Follow-Up Requests • Address high-priority Patient Services emails related to invoices involving legal representation and time-sensitive deadlines • Conduct compliance audits as assigned or requested

🎯 Requirements

• Ability to work in a fast-paced environment while maintaining accuracy and focus • Strong organizational skills to ensure deadlines are met • Strong knowledge of medical billing and accounts receivable processes, including claim lifecycle, denials, and payer rules • Proficient in using billing software and electronic health record (EHR) systems • High attention to detail and accuracy in reviewing documentation and financial records • Analytical skills with the ability to detect patterns, discrepancies, and areas for improvement • Understanding and adhering to HIPAA and other government and healthcare industry regulations • Strong written and verbal communication skills to provide constructive feedback and report findings • Ability to work independently, manage multiple tasks, and prioritize responsibilities effectively • Extensive knowledge of insurance guidelines including Medicare and other government payers, private, self-insurance, and managed-care plans • Familiarity with auditing techniques and principles within a healthcare revenue cycle setting • Knowledge of MS Office including Outlook, Word and Excel • Excellent verbal and written communication skills • Excellent attention to detail and time management skills • Excellent customer service skills • High School Diploma • Minimum 3-4 years revenue cycle experience

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume