RN Insurance Auditor

Company: Yavapai Regional Medical Center
Location: Prescott
Posted on: January 4, 2021

Job Description:

Job Summary

The RN Insurance Auditor supports the vision of the Total Healing Environment and the values of respect, integrity, accountability, commitment and quality by conducting internal audits and coordinating and reviewing external third party payer audits. Ensures compliance to applicable payer specific rules and regulations related to charging accuracy and responds to inquiries related to the accuracy of charges for hospital services.

Job Qualifications

Required Qualifications:

* Must hold a current, valid Arizona or compact RN state license
* Working knowledge of hospital Patient Financial Services department operations including an understanding of Business Office and Admitting department terminology
* Previous medical record and audit experience
* Excellent interpersonal skills and the ability to effectively communicate verbally and in writing providing excellent customer service
* Excellent organizational skills with the ability to multitask and handle multiple priorities/tasks simultaneously in a fast paced environment
* Ability to work well under pressure and meet deadlines
* Basic computer literacy and proficiency in Microsoft Windows
* Basic proficiency with MS Office (Outlook, Word, Excel)

Preferred Qualifications:

* Electronic Medical Record (EMR) experience preferred; Cerner strongly preferred
* Must pass pre-employment screening

Company Overview

Yavapai Regional Medical Center is a not-for-profit, integrated healthcare provider that offers a broad range of inpatient and outpatient services. Our healing network includes two full-service acute care hospitals, primary and specialty care clinics, the YRMC Wellness Center and the YRMC Del E. Webb Outpatient Center. YRMC's unmatched continuum of care covers a 5,500 square mile service area and includes cardiac surgery, neurosurgery, a comprehensive Women's Health Pavilion and Arizona's only Patient Blood Management Program. YRMC has earned numerous awards for quality and has earned national recognition as an exceptional provider of care. Our MissionTo provide comprehensive, high quality healthcare consistent with our communities' needs.Our VisionCreating a "Total Healing Environment" wherein the people of YRMC work in partnership with the patients and their families seeking peace of mind and peace of heart as well as physical cures or comfort because we understand the indivisible relationship that exists between body, mind and the human spirit. Our ValuesRespect: Behaving in a way that honors self and others.Integrity: Being consistent and honest in word and deed. Accountability: Following through and being answerable for one's performance.Commitment: Demonstrating dedication to one's work, personal development, the organization, the Mission and the Vision.Quality: Providing service excellence.

Keywords: Yavapai Regional Medical Center, Prescott , RN Insurance Auditor, Accounting, Auditing , Prescott, Arizona