Medical Billing & Collections Specialist (Audit)

Medical Billing & Collections Audit Specialist

At Rotech Healthcare Inc., were more than a medical equipment providerwere a trusted partner in patient care. As a national leader in ventilators, oxygen therapy, sleep apnea treatment, wound care, diabetic solutions, and other home medical equipment, we empower patients to manage their health from the comfort of home.

With hundreds of locations across 45 states, our team delivers high-quality products, exceptional service, and compassionate support that helps patients live more comfortably, independently, and actively. Whether you're a clinician, technician, or healthcare administrator, your work at Rotech directly improves lives.

We are seeking a dedicated Medical Billing & Collections Audit Specialist to join our Billing Center Division. This position is responsible to review and respond to all Prepay and Post-Pay audits within the required time frame.

Pay starting at $15.50

Mon - Fri scheduled shift / flex hours between 7am - 5pm

Essential Duties and Responsibilities :

• All manual re-billing audits are reviewed for accuracy and turned into supervisor for approval before posting, insures release of claim
• Contacts physician, facilities, patients, or location to gather documentation needed to respond to an audit
• Documents all work done in NAT notes in eIntake
• Ensures good communication with locations and auditors
• Process all Payer appeal requests within the time frame required by the Payer
• Processes all adjustments within iWorkQ
• Reports to BCC Supervisor any trends, which will prevent future audits
• Resolves emails from BCC Supervisor / BCM and locations within 48 hours
• Reviews all post-pay and prepay audits for appropriate action and responds within the time frame required
• Reviews patient information in IMBS to determine if an adjustment is valid
• Reviews the EMR to gather all documentation for an audit
• Performs other duties as assigned

Employment is contingent on :

Education and / or Experience :

Skills, Knowledge and Abilities :

Physical Demands :

Machines, Equipment and Technical Abilities :

Benefits :