Medical Billing Quality Assurance Auditor

Job not on LinkedIn

🔥 0 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $24 - $27 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔧 QA Engineer (Quality Assurance)

👻 Ghost score 0%

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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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 for accuracy, completeness, and compliance • Identify errors, discrepancies, and trends affecting reimbursement, operational efficiency, or regulatory compliance • Provide audit findings, feedback, and recommendations to billing staff and leadership • Monitor 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 and refine policies, procedures, and workflows • Assist with staff training on documentation standards, payer requirements, billing procedures, and industry best practices • Participate in quality assurance initiatives and prepare leadership reports on audit results, performance trends, and improvement opportunities • Maintain current knowledge of industry regulations, payer policies, and billing software updates • Support internal and external audit requests by gathering documentation, performing reviews, and responding to inquiries • Perform manual Cross Workflow tasks, including AR Support Requests and AR Follow-Up Requests • Address high-priority Patient Services emails concerning 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