Audit & Control Specialist

As an integral member of the Physician Billing Department, the Audit & Control Specialist will perform a variety of physician billing support functions. This includes solving account discrepancies, interpreting data, discerning trends, and determining the appropriate course of action.

• Have the ability to organize, analyze, and effectively resolve accounts within established timeframes
• Possess excellent verbal and written communication skills
• Excellent time management and punctuality
• Flexible to work independently or in a collaborative environment

• Resolve credits balances in a timely and accurate manner.
• Ensure all charge corrections are processed and any appropriate resulting credit balances are resolved expeditiously.
• Investigate and resolve any patient account discrepancies as needed in accordance with departmental adjustments policies and procedures.
• Ensures all patient accounts are noted with the activity related to the credit/refund.
• Contact Insurance Carriers to determine the necessary information for Payment Posting Specialists, and recommend posting to unmatched and miscellaneous accounts for follow up after month end closing.
• Process refunds and work offsets from all insurance carriers.
• Monitors recoupment activities by payers for appropriateness.
• Responds to and resolved refund requests from payers.

• High School Diploma/GED required; Bachelors Degree preferred
• Must be highly organized, and able to perform with a high standard of accuracy