Claim Auditor

NextCare Introduction

NextCare strives to be the leader in high access healthcare, offering urgent care, occupational health, virtual health and primary care services to our patients. With offering services in twelve states (Arizona, Colorado, Kansas, Michigan, Missouri, New Mexico, Nebraska, North Carolina, Oklahoma, Texas, Virginia and Wyoming) and over 170 urgent care clinic locations, we offer exceptional, affordable care to patients across the country.

At NextCare, we constantly strive to provide you with the highest degree of caring, growth, integrity, results and teamwork. These essential core values form the foundation of our relationships with patients, customers, investors, partners and one another. Extraordinarily high-performance standards serve as critical guides for making important clinical and business decisions. The expression of these standards is evident in our behavior, our attitude, and our approach to our daily work. The product of our strict adherence to core values is the ability to harness tremendous organizational energy to achieve our goal of upholding the highest standard for quality and service within the high access healthcare. This unique combination of values, performance standards and commitment serves as the key to our success.

What we are looking for

NextCare Urgent Care is looking for a Claim Auditor to be a part of our Urgent Care Team.

Location

Join our Billing team in Mesa, AZ.

Responsibilities

The Claim Auditor is responsible for auditing the billing and charge entry for the NextCare Clinics prior to billing the claims to the insurance companies. It will involve running reports, correcting errors, entering information for tracking, checking for correct provider/supervising on charges, and reporting unusual findings to the Billing Manager. The position will also involve the transferring payments, correcting the charges and adjusting the contractual if needed in order to provide correct information before billing. The position will also involve special projects as needed.

How you will make an impact

The Claim Auditor supports the organization with the following:

• Responsible for running daily reports and checking for correct information (provider, supervising, E&M codes, missing charges, pending charges, etc.) and entering notes on the reports to be able to report findings back to the clinics for training purposes.
• Accountable for reviewing the charges and entering the correct information if needed.
• Claims will need to be reviewed each day for the prior date of service and will need to be completed in a timely manner in order keep the claims flowing and not have a delay in billing times.
• Perform daily the charge corrections and contractual adjustments that are needed. Post batches daily as to not allow for errors in statements.
• Will require exporting reports to excel, saving on the drive and inserting corrected information on the spreadsheets.
• Responsible for ensuring that the charge corrections are billed in a timely fashion.

Assist with claim resubmission projects when deemed necessary.

Essential Education, Experience and Skills:

Education: Minimum of High School diploma or equivalent

Experience: Must have a minimum of three years of experience in billing and charge entry, payment entry, collections, and general understanding of contractual adjustments. Experience with Managed Care contracts, Medicare and Medicaid.

Skills: Must have general computer knowledge and good working knowledge of Microsoft Excel.

Valued But Not Required Education, Experience and Skills:

Experience: Medical collections experience; Charge entry knowledge; NextGen software experience

Benefits:

NextCare offers full time employees medical, health savings account, NextCare employee visit program, dental, vision, basic life, voluntary employee/spouse/child life, long term disability, short term disability, employee assistance program, critical illness, accident, legal, identity theft and paid time off benefits. Employees of all statuses are offered 401(k) Plan benefits. Employees in select positions are offered shift differential benefits. Benefits are offered per policy and plan rules.

Equal Opportunity Statement

NextCare Urgent Care is an Equal Opportunity Employer.