Third-Party Audit Specialist

Responsibilities

• Responsible for completion of third-party audits :
• Serve as primary point of contact for third party payors;
• Research and procure appropriate documentation requested in audit;
• Collaborate with client, as necessary to obtain adequate and accurate documentation;
• Ascertain timely response to all audit requests; and track and report audit results to Management on a timely basis.
• Responsible for rebilling any claims necessary because of audit procedures.
• Assist in verification of Medicaid eligibility, as requested.
• Assist with weekly and monthly unit dose composite claims, as requested.
• Assist in billing efforts, as requested.
• Assist with hospice billing, as requested.
• Any and all other duties as assigned.

Qualifications

• High school diploma or equivalent.
• Long-term care pharmacy billing experience, minimum two (2) years.
• Knowledge of billing software, electronic billing, and electronic medical records.
• Strong organizational and follow-up skills with clear ability to adhere to deadlines.
• Detail oriented with effective time management skills.
• Software skills :
• Experience with billing and accounting software for managing accounts, processing payments, and reconciling reports; and Advanced knowledge of Microsoft products.

Why work for us?

At Symbria our employees act like owners because we are owners! As one of the few 100% employee-owned healthcare providers, our focus remains on delivering best-in-class services within our Pharmacy, Rehabilitation and Well-Being operations, which allows our clients to improve the lives and well-being of their patients and residents.

Our teams utilize insights and analytics to drive better health outcomes for our partnered post-acute and senior living communities while providing them with flexible service options.

Symbria’s Core Values drive the way we partner with those clients, their patients and residents and the way our diverse employee-owners work together :

• Integrity Honest, Fairness and ethics
• Compassion Commitment to serving seniors
• Stewardship Maximizing mission and margin
• Innovation Striving to enhance our value to your organization
• Teamwork Working together unselfishly toward goals

As an employee-owner, Symbria’s success becomes your success. In addition, we provide :

• Competitive pay, aligned with market guidelines
• Full Benefits Package, including very generous paid time off plans
• Professional liability coverage
• 100% employer-funded ESOP retirement plan
• 401(k) and Roth(k) plans
• Continuing education
• Credit union membership

All applicants will be afforded equal opportunity without discrimination because of race, color, religion, sex, sexual orientation, marital status, order of protection status, national origin or ancestry, citizenship status, age, physical or mental disability unrelated to ability, military status or an unfavorable discharge from military service.