"Alerted.org

+ Area of Interest: Business Professionals

+ FTE/Hours per pay period: 1.0

+ Department: Medical Economics

+ Shift: 40

+ Job ID: 175035

Overview Payment Auditor - Fully remote

Join Our Team as a Payment Auditor! Are you detail-oriented, analytical, and motivated by ensuring accuracy in financial processes? We’re looking for a talented Payment Auditor to help us strengthen our revenue integrity and ensure we’re paid correctly for the care we provide.

In this role, you’ll dive into insurance claims to identify incorrect payments and uncover opportunities for recovery. You’ll build and maintain payor contracts within our Decision Support System, collaborate directly with payors to resolve and collect underpayments, and create performance reports that highlight trends, root causes, and improvement opportunities across contracts and facilities.

If you enjoy problem-solving, improving processes, and making a measurable impact, this is a fantastic opportunity to grow your career and contribute to meaningful results.

Why UnityPoint Health?

At UnityPoint Health, you matter. We’re proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members.

Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in.   Here are just a few:

+ Expect paid time off, parental leave, 401K matching and an employee recognition program .

+ Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members.

+ Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family .

With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together.

And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience.

Find a fulfilling career and make a difference with UnityPoint Health.

Responsibilities

+ Identifying and Resolving Incorrectly Paid Claims

+ Review accounts to identify payments that do not align with contracted payor terms.

+ Monitor Epic workqueues to flag discrepancies and ensure timely follow-up.

+ Analyze regular reports to detect potential underpayments and trends.

+ Document all identified underpayments thoroughly within Epic.

+ Collaborate with payor contracting teams and payors directly to recover underpaid amounts, tracking and communicating results to management.

+ Serve as a knowledgeable resource for reimbursement questions and payment terms across patient populations.

Qualifications

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.