Experienced Data Entry and Audit Resolution Specialist – Medicare Documentation and Appeals Processing at arenaflex

Introduction to arenaflex and the Role arenaflex is a leading organization dedicated to providing exceptional services in the healthcare industry. We are committed to excellence, integrity, and innovation, making us a preferred partner for individuals and businesses alike. Our team is passionate about delivering high-quality solutions that make a difference in people's lives. We are now seeking an experienced and detail-oriented Data Entry and Audit Resolution Specialist to join our dynamic team. As a key member of our Medicare documentation and appeals processing unit, you will play a vital role in ensuring the preparation and submission of documentation to various Medicare contractors, as well as guiding audits through the levels of appeal for resolution. Key Responsibilities In this critical role, you will be responsible for a range of tasks that require strong organizational skills, attention to detail, and excellent communication abilities. Your key responsibilities will include: Gathering and preparing all necessary documentation for audit submission, while continuing to pursue additional documentation and correction requests as needed. Preparing and submitting audits to various Medicare contractors, ensuring timely and accurate processing, and following the audit through the levels of appeal for resolution. Communicating Medicare policy and procedures to field and staff employees, providing guidance and support to ensure compliance and understanding. Adjusting Accounts Receivable (A/R) in accordance with Medicare policy, ensuring accurate financial records and compliance with regulatory requirements. Serving as a backup when other employees are out, providing coverage and support to maintain seamless operations. Working assigned Audit Delivery System reports, analyzing data, and identifying trends or areas for improvement. Essential Qualifications To be successful in this role, you will need to possess the following essential qualifications: High school diploma or equivalent required; associate's or bachelor's degree in a related field preferred. Minimum 2 years of experience in data entry, audit resolution, or a related field, preferably in a healthcare or Medicare environment. Strong knowledge of Medicare policies and procedures, as well as excellent understanding of audit processes and appeal procedures. Proficiency in data entry software and systems, with high accuracy and attention to detail. Excellent communication and interpersonal skills, with the ability to work effectively with field and staff employees. Preferred Qualifications While not required, the following preferred qualifications will be considered an asset: Experience working with Audit Delivery System reports and analyzing data to identify trends or areas for improvement. Knowledge of accounting principles and practices, particularly in relation to Accounts Receivable (A/R) adjustments. Certification in a related field, such as Certified Medical Reimbursement Specialist (CMRS) or Certified Professional Coder (CPC). Experience working in a fast-paced environment with multiple priorities and deadlines. Skills and Competencies To excel in this role, you will need to possess the following skills and competencies: Attention to detail : Ability to accurately prepare and submit documentation, as well as identify and correct errors. Organizational skills : Ability to prioritize tasks, manage multiple projects, and meet deadlines. Communication skills : Ability to effectively communicate with field and staff employees, as well as Medicare contractors and other stakeholders. Analytical skills : Ability to analyze data, identify trends, and make informed decisions. Technical skills : Proficiency in data entry software and systems, as well as familiarity with Audit Delivery System reports. Career Growth Opportunities and Learning Benefits At arenaflex, we are committed to the growth and development of our employees. As a Data Entry and Audit Resolution Specialist, you will have access to: Comprehensive training programs to enhance your knowledge and skills. Ongoing professional development opportunities to advance your career. Mentorship and coaching from experienced professionals in the field. Opportunities to work on special projects and contribute to process improvements. Work Environment and Company Culture arenaflex is proud to offer a dynamic and supportive work environment that fosters collaboration, innovation, and excellence. Our company culture is built on the values of: Integrity : We operate with honesty, transparency, and ethics in all our interactions. Respect : We value diversity, inclusivity, and respect for all individuals, regardless of their background or perspective. Excellence : We strive for excellence in all our endeavors, continuously improving our processes and services. Teamwork : We believe in the power of collaboration, working together to achieve common goals and objectives. Compensation, Perks, and Benefits arenaflex offers a competitive compensation package, as well as a range of perks and benefits, including: Comprehensive health insurance, including medical, dental, and vision coverage. 401(k) retirement plan with company match. Paid time off, including vacation, sick leave, and holidays. Opportunities for professional development and career advancement. Recognition and reward programs for outstanding performance. Conclusion If you are a motivated and detail-oriented individual with a passion for data entry and audit resolution, we encourage you to apply for this exciting opportunity at arenaflex. As a Data Entry and Audit Resolution Specialist, you will play a critical role in our Medicare documentation and appeals processing unit, working with a dynamic team of professionals who share your commitment to excellence and integrity. Join us at arenaflex and take the first step towards a rewarding and challenging career in the healthcare industry. Apply now to become a part of our talented team and contribute to the success of arenaflex! Apply for this job