Offer summary

Qualifications:

Associate degree preferred, Minimum two years of experience in home care or hospice, Knowledge of Medicare regulations and guidelines, Proficiency with Microsoft Office suite and excellent communication skills..

Key responsabilities:

Verify that the Plan of Care meets all requirements for processing

Communicate with physicians and referral sources to obtain Face-to-Face documentation

Track and follow up on incomplete Face-to-Face documentation

Compile and review medical record documentation for payor audit submission.

Job description

Job Title

Payor Audit Coordinator

Location

Remote/Nationwide, USA

Additional Location(s)

Employee Type

Employee

Working Hours Per Week

Job Description

Graham Healthcare Group is seeking a remote Payor Audit Coordinator who communicates with referral sources and obtains timely and accurate Face-to-Face (F2F) documentation; as well as ensures audit packages are responded to on a timely basis.

Payor Audit Coordinator Responsibilities:

Verify that the Plan of Care meets all requirements to process
Ensure timely processing of signed Plan of Care
Learn and maintain changes to Medicare F2F guidelines
Track F2F progress and follow up any incomplete F2F until completed
Enter F2F home health coordination notes into HCHB
Communicate with physicians and referral sources to obtain F2F documentation
Work with Sales departments on timely collection of F2F and order documents needed for audit submission
Compile and review medical record documentation for payor audit submission
Comply with Company’s Core Values and Core Competencies

Payor Audit Coordinator Requirements:

Associate degree preferred
Minimum two (2) year of experience in home care or hospice
Knowledge of Medicare regulations and guidelines
Familiarity with medical terminology preferred
Proficiency with Microsoft Office suite
Ability to learn and maintain changes to Medicare F2F guidelines
Excellent customer service and verbal communication skills
Outstanding organizational and communication skills
Ability to work well in a team

About Graham Healthcare Group:

As an innovator in an evolving healthcare world, Graham Healthcare Group has been designing business and technology solutions to drive better care, outcomes, and productivity within its own home health and hospice companies for over 20 years. In the last several years, our solutions have been successfully integrated across the healthcare continuum.

Join Graham Healthcare Group and enjoy the following benefits:

Competitive Pay: With opportunity for advancement
Health and Welfare Benefits: Various medical, dental, and vision insurance options for you and your family to choose from.
Supplemental Benefits: Company paid life insurance and disability benefits. Also, pre-tax FSA and HSA plans are offered.
Generous PTO Packages: 15 days PTO that grows with your tenure, 6 paid holidays, 1 personal day.
Retirement: Save for your future with our company offered 401k plan and pension.
Company-Paid Education Programs: Grow your career by taking advantage of 50% discounts on tuition for selected courses offered by Purdue and Kaplan.

Benefits may vary based on your employment status.

NOTICE:

Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana.
By supplying your phone number, you agree to receive communication via phone or text.
By submitting your application, you are confirming that you are legally authorized to work in the United States.

Graham Healthcare Group is an Equal Opportunity Employer

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