Hybrid Billing Auditor

at Planned Parenthood Federation of America

• Job title: Billing Auditor
• Job type: Full Time
• Experience level: Mid level, Senior
• Salary: $54,080 - $62,608 per year
• Degree requirement: Bachelor's Degree
• Location requirements: Hybrid, Rochester, United States

About the role

• Billing Auditor evaluating Revenue Cycle outcomes at Planned Parenthood of Central and Western New York. Collaborating with teams to improve billing practices and ensure compliance.

Responsibilities

• Evaluates charge capture, claims scrubbing, and sliding fee discount practices
• Maintains and ensures a disciplined and effective approach to discover root causes of billing issues
• Reports to Revenue Cycle Management and Quality Risk Management Committees
• Develops and recommends corrective action plans
• Recommends modifications to established practices based on findings
• Supports the documentation of Revenue Cycle Standard Operating Procedures (SOPs)
• Works collaboratively with the Revenue Cycle Leadership
• Builds and manages relationships with Payers
• Manages individual projects as assigned and provide weekly status reports
• Performs data processing, analysis, and reporting of Revenue Cycle activities

Requirements

• Bachelor’s degree in Business or Healthcare Administration or related field preferred
• Certified Professional/Medical Coder or Certified Professional Medical Auditor desired
• Minimum 3 years of experience in medical billing and collections
• Minimum 3 years of experience with computerized billing/receivables system and reports
• Experience with NextGen practice management system preferred
• In-depth knowledge of Governmental and non-Governmental insurance guidelines
• In-depth knowledge of ICD, CPT, and HCPCS coding
• Ability to read and interpret medical procedures and terminology
• Must have excellent communication skills (verbal and written)
• Must be sensitive to patient’s financial and clinical needs
• Must have exceptional attention to detail
• Must demonstrate strong analytical and problem-solving skills
• Must have strong interpersonal skills
• Computer skills must include advanced level in Excel and other MS Office programs
• Must be able to work a flexible schedule with ability to travel to multiple sites when needed
• Must have reliable transportation and/or a valid driver’s license not in jeopardy of being revoked.

Benefits

• Paid Time Off
• 10 paid holidays
• Affordable medical, dental, and vision options
• Health Savings Account or Flexible Spending Account
• 401(k) with match