Zero Balance Auditor

Key Responsibilities:

• Review, evaluate, appeal, and follow up on outstanding, denied, underpaid, and other assigned claims using proprietary software.
• Use payment documentation and contract information to determine correct reimbursement.
• Research, request, and acquire medical records to create and submit complex underpayment appeals.

Requirements and Qualifications:

• High School Diploma or GED required; Associate's or Bachelor's preferred.
• 5+ years in healthcare billing or collections.
• Intermediate understanding of ICD, HCPCS/CPT coding and medical terminology.

Special Considerations:

• Must be a self-starter and able to work independently.
• Proven ability to meet productivity targets and handle stress.
• Strong analytical and problem-solving skills.