Quality Control Auditor

🔥 14 hours ago

🐊 Florida – Remote

🐊 Florida – Remote

⏰ Full Time

🟢 Junior

🔎 Auditor

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

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👻 Ghost score 13%

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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North American Partners in Anesthesia

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

🛡️ Insurance

📦 Logistics

🏥 Healthcare

Insurance • Logistics • Healthcare

North American Partners in Anesthesia (NAPA) is a clinician-led organization that is redefining healthcare through exceptional anesthesia and perioperative management services. Founded in 1986, NAPA has grown to serve over 3 million patients annually in more than 500 healthcare facilities across the United States. The organization emphasizes high-quality care through innovative leadership development and customer service training, focusing on optimizing results for patients, surgeons, and healthcare administrators. NAPA stands out in the industry with its evidence-based practices, enhancing operational efficiency, safety, and patient satisfaction.

📋 Description

• Work on registration and audit daily work completed by offshore Data Entry teams. • Ensure charges are posted correctly within the billing system without delays. • Determine whether insurance received from facilities is accurate and eligible for anesthesia services, and update it accordingly. • Manage and process assigned work queues in a timely, productive, and high-quality manner. • Send requests for new surgeons to be added to the billing system. • Recommend vendor education based on errors identified while resolving work queue tasks. • Review and correct insurance-related payor codes. • Determine eligibility, insurance products, and plan types for patient accounts using Availity, payer websites, payer contacts, and hospital EMR systems. • Ensure insurance information is obtained and entered accurately. • Identify and timely correct discrepancies in patient insurance information within the billing system. • Review medical records, patient demographic sheets/face sheets, and EMR systems; update patient accounts based on findings.

🎯 Requirements

• High School Diploma or equivalent required. • Ability to prioritize and manage multiple requests and respond within designated timeframe. • Moderate computer skills. • 1+ years of experience with insurance verification/Data Entry in the Medical field. • Basic working knowledge of billing procedures, insurance reimbursement and guidelines, preferably in a medical or anesthesia setting. • Basic knowledge of insurance plans, including guidelines for Medicare/Medicaid, government plans, HMOs, and PPOs. • One-year prior electronic medical records experience required (EMR/EHR). • Beginner Excel, Word, and Outlook skills. • Ability to develop strong collaborative working relationships and engage effectively with cross-functional teams. • Ability to adapt to changing work situations. • Ability to maintain department benchmark for quality and productivity.

🏖️ Benefits

• Paid Time Off • Health insurance • Life insurance • Vision insurance • Dental insurance • Disability insurance • AD&D insurance • Flexible Spending Accounts • Health Savings Accounts • 401(k) • Leadership and professional development opportunities