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Charge Auditor - Days in Foothill at Foothill Regional Medical Center

Date Posted: 5/30/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    14662 Newport Avenue
    Foothill
  • Experience:
    Not Specified
  • Date Posted:
    5/30/2018
  • Job ID:
    9305

Job Description



Charge Auditor

We are hospitals and affiliated medical groups, working closely together for the benefit of every person who comes to us for care. We build comprehensive networks of quality healthcare services that are designed to offer our patients highly coordinated, personalized care and help them live healthier lives. Through collaboration, we strive to provide all of our patients and medical group members with the quality, affordable healthcare they need and deserve.

Under direction of Nursing and Hospital Administration, performs specialized administrative duties pertaining to hospital billing and reimbursement activities, utilizing a knowledge of both nursing and administrative practices; audits the charges on medical bills; performs under/over charge audits; reviews charge-related patient grievances; communicates audit findings to various parties and works closely with a variety of external parties or individuals to resolve disputes; and performs other duties as assigned.



Job Responsibilities/Duties

  • Reads and understands patient medical records and other treatment documentation; interpret medical provider notes and comments, including the use of common acronyms and abbreviations.
  • Identifies discrepancies between medical information and financial charges.
  • Understand, interpret and apply laws, rules, regulations and policies related to patient accounting,billing, collections, and general hospital administration.
  • Collects, interprets and evaluates narrative and statistical data pertaining to administrative, fiscal management and patient matters; prepare complex reports, memoranda and other written materials.
  • Utilizes standard business equipment, including computer hardware and software.
  • Analyzes and resolves problems and complaints.
  • Computer-based business applications, including word processing and spreadsheet applications.
  • Communicate clearly and concisely, both orally and in writing; effectively present information to groups​ and individuals.
  • Establishes and maintains cooperative working relationships with others including physicians, nurses,administrators, managers, auditors, and other health care industry personnel.
  • Provides excellent public relations and courteous customer service.


Qualifications

Minimum Education: Completion of accredited Nursing Program. 

Minimum Experience: Three (3) years of nursing experience. 

Req. Certification/Licensure: Current Register Nurse license in the State of California. Current BLS certification.



Employee Value Proposition

Prospect Medical Holdings, Inc., is guided by a diverse and highly experienced leadership core. This group maintains the vision that has made Prospect a needed difference-maker in the lives of so many patients today, and many executives contribute to our continued efforts. As a member of our highly effective team of professionals you will receive:

  • Company 401K
  • Medical, dental, vision insurance
  • Paid time-off
  • Life insurance


How to Apply

To apply for this role, or search our other openings, please visit http://pmh.com/careers/ and click on a location to begin your journey to a new career with us!

We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources.

EEOC is the Law: https://www1.eeoc.gov/employers/poster.cfm

Keywords: Registered Nurse, RN, Auditor, Hospital Administration

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