Accounts Receivable Quality Assurance Auditor

About Our Client:This organization operates within the healthcare revenue cycle management sector. It addresses challenges related to accurate billing, claim follow-up, and collections processes. By implementing systematic audits and ensuring compliance with payer regulations and industry standards, the program aims to improve billing accuracy, operational efficiency, and reimbursement outcomes. About the Opportunity:The ACCOUNTS RECEIVABLE QUALITY ASSURANCE AUDITOR is responsible for evaluating all billing activities and accounts managed within the billing software system. This role ensures adherence to internal protocols and external regulations, identifies trends and discrepancies, and supports improvements in billing and collections effectiveness. The position contributes by enhancing accuracy and compliance, thereby supporting the financial health and operational integrity of the organization. Responsibilities:Audit daily billing work including claim submissions, follow-up, and collections.Review account documentation and billing outcomes for accuracy and compliance.Identify errors and trends affecting reimbursement and efficiency.Provide audit findings and recommendations to staff and leadership.Monitor and audit special billing projects and programs to ensure protocol adherence.Collaborate on policy and procedure development based on audit insights.Assist in staff training on documentation, billing procedures, and payer requirements.Participate in quality assurance activities and prepare performance reports.Maintain knowledge of industry regulations and billing software updates.Support internal and external audit requests with documentation and reviews.Perform manual tasks related to accounts receivable support and follow-up.Conduct compliance audits as assigned to ensure policy and regulatory adherence. Requirements:Ability to maintain accuracy and focus in a fast-paced environment.Strong organizational skills and deadline management.In-depth knowledge of medical billing, accounts receivable, claim lifecycle, denials, and payer rules.Proficiency with billing software and electronic health record systems.High attention to detail in reviewing financial and documentation records.Analytical skills to identify patterns and areas for improvement.Understanding of HIPAA and healthcare industry regulations.Strong written and verbal communication skills.Ability to work independently and prioritize multiple tasks.Extensive knowledge of insurance guidelines including Medicare, government payers, private, self-insurance, and managed-care plans.Familiarity with healthcare revenue cycle auditing techniques.Proficiency in MS Office applications including Outlook, Word, and Excel.Excellent customer service skills.High school diploma.Minimum of 3-4 years of revenue cycle experience. Pay Range and Compensation Package:The pay range and compensation package for this role will be determined based on the candidate's experience, skills, and other relevant factors. Equal Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin. Note:RemoteHunter is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.