Hospital Bill Audit Supervisor

About the role

The hospital bill audit nurse supervisor will maintain a positive team building approach with emphasis on overseeing the day to day functions of hospital bill audit nurses, reporting, leadership and professional communication with all CERiS departments. This is a remote position.

Essential Functions & Responsibilities

• Utilize nursing education, experience and industry best practices to lead a team of registered nurses to plan, execute and deliver timely and accurate hospital bill audits
• Absolutely ensure accuracy of audits through acquired knowledge of client policies, provider contract information, and other standard guidelines
• Aid in the development and support of auditors to meet and exceed productivity requirements based on CERiS productivity standards
• Act as a point of contact to answer and resolve auditor issues with the goal of providing excellent customer service and relationship management
• Perform audits as necessary
• Keep manager informed of any issues that arise with audits or staff and escalate issues that cannot be resolved
• Research and respond to staff questions and concerns in a timely, professional manner
• Prepare and distribute reporting materials and team training presentations as directed by the manager
• Responsible for team training protocols as directed by the manager

Knowledge & Skills

• Knowledge and understanding of acute hospital billing requirements including UB-04’s, itemized bills, revenue codes, CPT/HCPCS codes, ICD10 diagnosis and procedure codes
• Knowledge and understanding of CMS, payor, and other industry guidelines required
• Ability to write and speak clearly, easily communicating complex ideas across multiple platforms
• Ability to think critically and work independently to meet deadlines and complete priorities
• Ability to remain poised in stressful situations and communicate diplomatically via telephone, computer, fax, correspondence, etc.
• Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets
• Exceptional organizational skills

Education & Experience

• Associate Degree in Nursing or higher required. BSN preferred
• Must maintain current licensure as a Registered Nurse in the state of employment
• Experience in hospital bill audit required
• Minimum of 5 years’ experience in the OR, ICU, or ER as an RN highly preferred

Pay Range

Pay Range: $76,207 – $117,662

Benefits

• Medical (HDHP) w/Pharmacy
• Dental
• Vision
• Long Term Disability
• Health Savings Account
• Flexible Spending Account Options
• Life Insurance
• Accident Insurance
• Critical Illness Insurance
• Pre-paid Legal Insurance
• Parking and Transit FSA accounts
• 401K
• ROTH 401K
• paid time off

About CERiS

CERiS, a division of CorVel Corporation, a certified Great Place to Work® Company, offers incremental value, experience, and a sincere dedication to our valued partners. Through our clinical expertise and cost containment solutions, we are committed to accuracy and transparency in healthcare payments. We are a stable and growing company with a strong, supportive culture along with plenty of career advancement opportunities. We embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).