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Enovis · 3 days ago

Audit Specialist

Billerica, MA

Full-time

Onsite

Senior Level

5+ years exp

Enovis Corporation is an innovation-driven medical technology growth company dedicated to developing clinically differentiated solutions. The Audit Specialist will support Revenue Cycle Management audit requests and billing functions, ensuring accurate charge capture, documentation, and compliance with regulations.

Health CareManufacturingMedicalMedical DeviceProduct Design

No H1B

Responsibilities

Demonstrates exceptional service and integrity related to customer accounts through accurate, timely, relevant, and quality work efforts of all Accounts Receivable or assigned tasks

Assists in the development and implementation of action plans to mitigate risk, pertaining to revenue cycle processes and billing compliance

Review and prepare audit documentation and submit it in a timely manner to the appropriate auditing entity

Weekly audit of insurance charges and manage AR escalations

Analyze denial trends and provide solutions for claim adjudication

Submit medical documentation related to the additional documentation request

Provide feedback to billing staff on coding issues and denials

Assist in training and education of coders and staff on compliance, billing, and coding principles for government and commercial payers

Prepares written reports and PowerPoints of audit performance, including recommendations and data points to improve compliance billing

Qualification

Medical billing experienceBilling compliance knowledgeAudit documentation preparationMicrosoft Office proficiencyHealthcare environment experienceCustomer service expertiseInsurance contract knowledgeThird-party billing software