Payment Auditor

We're seeking a Payment Auditor to join our team! In this position, you'll be responsible for identifying insurance claims paid incorrectly. Payment Auditor functions will include, but not limited to, building and maintaining all payor contracts within the Decision Support System, working with the payors to collect all under-payments that exist, and developing Payment Audit Performance Reports listing Underpayment Reason and Payment Audit errors by contract and facility.

Location: This position is open to remote/work from home with strong preference for candidates residing within the UPH geographies of Iowa, Illinois, & Wisconsin.

Why UnityPoint Health?

• Commitment to our Team - For the third consecutive year, we're proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare for our commitment to our team members.
• Culture - At UnityPoint Health, you matter. Come for a fulfilling career and experience a culture guided by uncompromising values and unwavering belief in doing what's right for the people we serve.
• Benefits - Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you're in.
• Diversity, Equity and Inclusion Commitment - We're committed to ensuring you have a voice that is heard regardless of role, race, gender, religion, or sexual orientation.
• Development - We believe equipping you with support and development opportunities is an essential part of delivering a remarkable employment experience.
• Community Involvement - Be an essential part of our core purpose-to improve the health of the people and communities we serve.

Visit https://dayinthelife.unitypoint.org/ to hear more from our team members about why UnityPoint Health is a great place to work.

What are team member vaccine requirements?

As part of keeping our communities safe and healthy, all team members must be vaccinated for influenza and Tdap, provide proof of immunity to MMR and varicella, and be tested for tuberculosis. New hires must submit proof of vaccination or an approved exemption to begin work. If you have questions, please contact a recruiter or ask at any time during the interview process. UPH strongly recommends that all team members receive the updated COVID-19 vaccine, and at this time, UnityPoint Health - Meriter requires Covid-19 vaccination or an approved exemption.

What You'll Do:

Identifying Incorrectly Paid Claims:

• Identify accounts paid incorrectly based on contracts with the payor

• Review accounts on the workqueues in Epic
• Work from regular reporting to identify underpayments

• Document the underpayment in Epic

• Work with payor contracting and the payors to recover underpayments. The amount collected will be monitored and communicated to management.

• Act as a resource to answer questions relating to reimbursement issues and payment terms for patient populations

What You'll Need:

Education:

• High school diploma or GED.

Experience

• Requires 3 years health care experience, or comparable education and experience.
• Knowledge of medical billing and terminology required.
• Proficiency in using Microsoft Office products, including Word, Excel and PowerPoint.
• Proficiency in use of report writing software.
• Able to manipulate and analyze large amounts of data.

Skills

• Troubleshoot and problem-solve calculation issues
• Technical Aptitude
• Professionalism
• Manage Deadlines/Priorities