19 days old

Audit Specialist - Managed Care

Medline Industries, Inc.
Mt Vernon, IL 62864
  • Job Code
    984130549

Job Description
Medline is currently seeking an Audit Specialist to review and process all payer audits for the Managed Care department.

General responsibilities will include:

  • Pulling all requested patient file documentation, obtaining medical records, and completing a quality check of the patient file
  • Preparing all files for submission to requesting agency and Medline Compliance department
  • Review and submit prepayment audits/ADRs/post payment audits from all Managed Care plans
  • Submission of documentation related to Medicare claims and audits
  • Conduct research related to the successful submission and completion of all audit submissions
  • Identify training and trending opportunities based on audit findings

Job Qualifications
Education

  • HS Diploma or equivalent

Relevant Experience

  • At least 2 years' experience working with Medicare and private payers






Posted: 2019-11-23 Expires: 2019-12-22
Sponsored by:
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Sponsored by:
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Audit Specialist - Managed Care

Medline Industries, Inc.
Mt Vernon, IL 62864

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