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Job Requirements of Audit Tracking System Representative - 5167:
QUALIFICATIONS / EXPERIENCE:
- Excellent Organizational Skills
- Ability to type 45 words per minute or better
- Strong analytical skills
- Excellent in problem solving
- Excellent communication skills
- Ability to work under pressure
- Ability to meet deadlines
- Excellent Microsoft Word and Microsoft Excel skills
- Ability to work as a team
- Ability to convey information accurately and clearly
SUPERVISORY RESPONSIBILITIES:
- None
PHYSICAL / ENVIRONMENTAL DEMANDS:
This job will be performed in a well-lighted and well-vented environment. Work is oriented around good visual skills. Eye fatigue may be encountered as extended amount of time is spent in front of computer.
This position may require manual dexterity and/or frequent use of the computer, telephone, 10-key, calculator, office machines (copier, scanner, fax) and/or the ability to perform repetitive motions and/or meet production standards to comply with the essential functions. Also, may require physical and/or mental stamina to work overtime, additional hours beyond a regular schedule and/or more than five days per week.
Overtime may be required and can be mandated by Management.
DISCLAIMER:
Cooperative, positive, courteous and professional behavior and conduct is an essential function of every position. All employees must be able to work with others beyond giving and receiving instructions. This includes getting along with co-workers, peers and management without exhibiting behavior extremes. Job functions may require personal leadership skills such as conflict resolution, negotiating, instructing, persuading, speaking with others as well as responding appropriately to job performance feedback from the supervisor. Additionally, the information contained in this job description has been designated to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this position.
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Audit Tracking System Representative - 5167
Job Description and Responsibilities
Join a team of dynamic, results oriented professionals!
Named among “The World’s Most Admired Companies" by Fortune Magazine
Named among "America's 100 Most Trustworthy Companies" by Forbes magazine
Named among “Great Places to Work" by Becker’s Hospital Review
- Career Growth Opportunities
- Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment
- 401K program (Discretionary matching funds available)
- Employee Assistance Program
- Referral Program
- Dental plans & Vision plans
- GENEROUS Personal time off
- Eight Paid Holidays per year
- Quarterly incentive plans
- Employee of the month awards with monetary gift and parking space
- Training Programs
- Fitness Center with personal trainer on site
- Wellness programs
- Flexible work schedule
JOB DESCRIPTION OVERVIEW:
This position is responsible for entering data in the Audit Tracking System via AES within the IDX Software. The data consists of payer audits, audit types, audit reasons, outcomes, revenue impact and risks. The Audit Tracking System will allow HCFS to track audits, report and respond to deadlines to avoid revenue loss and process audits timely. The employee must have good organizational skills, be flexible, proficient in Microsoft Office and Microsoft Excel. In addition, time management is very important.
ATS REPRESENTATIVE ESSENTIAL DUTIES AND RESPONSIBILITIES:
- High school diploma or equivalent required
- Six months to one year in healthcare, specifically in Accounts Receivable and/or Denials and Appeals related to insurance claim filing in an office or hospital setting. Input, track, maintain, and edit the audit data via AES within the IDX Software and into the Audit Tracking System.
- Enter the payer response to track outcomes of carrier audits.
- Provide detailed information related to the audit within the comment screen of the Audit Tracking System.
- Responsible to input, track, maintain and edit all applicable RAC data as outlined in the HCFS Policy 4.4.18.
- Daily responsible for reviewing, researching and maintaining the ATS Billing Center Reports.
- Monthly review ATS Aging Report and providing updated data to the Health Plan Claim Reviews and Audits leadership team.
- Provide weekly audit status, trends, issues to the Manager of Patient Services, as well as, the Billing Center Vice President.
- Perform all other duties as directed by the Manager of Patient Services, the Alcoa Billing Center or any other member of the Management Staff.
Job Requirements:
QUALIFICATIONS / EXPERIENCE:
- Excellent Organizational Skills
- Ability to type 45 words per minute or better
- Strong analytical skills
- Excellent in problem solving
- Excellent communication skills
- Ability to work under pressure
- Ability to meet deadlines
- Excellent Microsoft Word and Microsoft Excel skills
- Ability to work as a team
- Ability to convey information accurately and clearly
SUPERVISORY RESPONSIBILITIES:
- None
PHYSICAL / ENVIRONMENTAL DEMANDS:
This job will be performed in a well-lighted and well-vented environment. Work is oriented around good visual skills. Eye fatigue may be encountered as extended amount of time is spent in front of computer.
This position may require manual dexterity and/or frequent use of the computer, telephone, 10-key, calculator, office machines (copier, scanner, fax) and/or the ability to perform repetitive motions and/or meet production standards to comply with the essential functions. Also, may require physical and/or mental stamina to work overtime, additional hours beyond a regular schedule and/or more than five days per week.
Overtime may be required and can be mandated by Management.
DISCLAIMER:
Cooperative, positive, courteous and professional behavior and conduct is an essential function of every position. All employees must be able to work with others beyond giving and receiving instructions. This includes getting along with co-workers, peers and management without exhibiting behavior extremes. Job functions may require personal leadership skills such as conflict resolution, negotiating, instructing, persuading, speaking with others as well as responding appropriately to job performance feedback from the supervisor. Additionally, the information contained in this job description has been designated to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this position.