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HME Specialists LLC
Albuquerque, NM | Full Time
$112k-138k (estimate)
4 Months Ago
Audit Examiner
HME Specialists LLC Albuquerque, NM
$112k-138k (estimate)
Full Time | Wholesale 4 Months Ago
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HME Specialists LLC is Hiring an Audit Examiner Near Albuquerque, NM

Are you looking for an exciting career opportunity where you make a difference in people's lives daily? Then come join HME Specialists, we are New Mexico's largest local medical equipment and supply company!

HME Specialists is a rapidly expanding company with a great work environment, career growth opportunities and great benefits. We offer Health, Dental and Vison Insurance, generous paid time off and great employee discounts!

Job Duties

  • Have dependable/personal transportation to get to/from each location that can change from morning/afternoon, day/day, week/week depending on job task responsibility priorities.
  • Fulfill payer audit requests correctly and timely via method preferred by payer while maintaining an average of completion rate at 97% or higher after first 90-days of employment.
  • Maintain daily request/status log of payer notices and dates (received, fulfilled/completion, etc.)
  • Provide applicable feedback directly to Compliance Director and applicable department director(s)
  • Monitor and report trends in audit requests to Compliance Director
  • Assist in records organization and management in accordance with Department Director guidance.
  • Attend Department meetings, as applicable.
  • Assist in the planning, organization, implementation, and maintenance of records management system(s) (i.e., CPR , Brightree, etc.) for viewing, scanning, and sending requested documents.
  • Assist in establishing procedures/processes for implementing records management programs (i.e., document imaging, physical records storage, etc.)
  • Make recommendations to Compliance Director for suggested areas of improvement that HME could take advantage of to improve audit request responses, accuracy, and tracking.

QUALIFICATIONS

  • Experience in DME, medical records, claims/record auditing, or quality assurance in a Healthcare or DME setting.
  • Strong attention to detail.
  • Strong communication skills.
  • Must be organized, detail oriented, able to multi-task in a fast-paced environment and be a self-starter/motivator.

Benefits:

  • 401(k)
  • Dental insurance
  • Employee assistance program
  • Employee discount
  • Health insurance
  • Paid time off
  • Vision insurance

Job Summary

JOB TYPE

Full Time

INDUSTRY

Wholesale

SALARY

$112k-138k (estimate)

POST DATE

01/20/2024

EXPIRATION DATE

05/22/2024

WEBSITE

hmespecialists.net

HEADQUARTERS

Albuquerque, NM

SIZE

<25

INDUSTRY

Wholesale

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