The AR Operations Auditor monitors all Off Shore vendor’s daily AR policies and procedures. The AR Auditor’s main objective is to audit, review and give corrective action to achieve and maintain maximum results for efficiency and productivity levels.
1.Responsible for auditing all aspects of Off Shore AR Policies and Procedures; including assisting in their development, implementation, training, monitoring compliance and giving corrective action.
2.Manage offshore resources workflow to reach maximum efficiency and productivity levels.
3.Participate and assure successful results of all AR policies and procedures.
4.Identify, resolve and communicate AR trends and issues proactively to the Operations Director.
5.Provide direction regarding processes & procedures as they relate to the Client. Recommend improvements that will provide improved business processes. Prepare necessary procedural and policy documentation and distribute accordingly.
6.Work with other Departments (i.e. Coding, Refunds, IT, etc.) to minimize and/or resolve ongoing procedural problems affecting Client satisfaction/quality standards.
7.Promptly informs the Director of Operations of any matters that may cause a disruption to the Client (s).
8.Monitor the overall performance of all Off Shore Vendors
9.Initiate, monitor and assure accuracy of system changes for each client in a timely fashion
10.Monitor all reports generated by team
11.Demonstrate continuous improvement in team results.
12.Maintains the confidentiality of information
13.Performs other related duties as assigned.
QUALIFICATIONS AND REQUIREMENTS
Ability to interact with tact and diplomacy with individuals from a variety of backgrounds and organizational levels.
Ability to effectively communicate both in writing and verbally.
Excellent organizational, planning, and prioritization skills.
Knowledge of: Accounts Receivable Management, RVU’s, HIPAA, Medicare Fee Schedule Methodology, Medicare/Medicaid/WC Regulations, Medical Terminology, CPT/ICD9 Coding.
Skilled In: Medical Billing Software, GPMS preferred, Microsoft Outlook.
Ability to: Interpret and analyze data, multitask, work independently, prioritize, troubleshoot, problem solve, direct others, communicate clearly with tact at all levels within the organization both internally and externally, expand ideas and though processes with global approach in all areas of AR. Independent decision making is critical.
Problem solving, research, organization, detail oriented, flexibility to work on competing priorities
Able to work independently, identify patterns, make informed decisions, correctly identifying root causes to determine appropriate actions and outcomes
5+ years Office experience in which problem solving and research were major keys to success.
Prior computer experience is required.
Ability to completely and concisely summarize important details in account notes and excellent verbal communication skills are a must.