Alumus Healthcare

Auditor

• Prepare, manage, and audit all primary and secondary insurance verifications and re-verifications for medical insurances such as Medicare, Private and Managed Care patients via paper or electronic means according to payer specific rules.
• Responsible for pre-billing audits, inputting and maintaining the daily client lists and pre-billing audits in the Accounts Receivable (AR) or other financial software systems.
• Accurately maintain all patient accounts including monthly statements and collections.
• Research and resolve EOB rejections and other issues with outstanding accounts.
• Post cash receipts and adjustments as needed.
• Facilitate initial and ongoing authorizations from patient insurances.
• Review contracts to verify insurance payment and insurance requirements.
• Assist facilitating and managing the Monthly Triple Check process.
• Assist in maintaining payer setup in the AR software.
• Communicate with managers and staff as required to obtain or verify billing information.
• Communicate with patients and/or families regarding patient data and account status.

Medical Billing Auditor