Job Description

MUST:

• Healthcare revenue cycle experience (3–5 years) with knowledge of medical billing, collections, Medicare/Medicaid, and fee schedules.
• Expert-level Excel skills (formulas, VLOOKUPs, calculations) with the ability to build templates and improve efficiencies, lots of calculations in Excel
• Very strong experience validating data
• Strong analytical mindset with the ability to spot data discrepancies, audit reports, and validate data accuracy
• Process improvement focus, reviewing current workflows and identifying opportunities to streamline manual or outdated systems.
• Ability to investigate and resolve issues, not just flag them—reconstructing reports and correcting errors when discrepancies arise.
• Ability to clearly share findings and insights with management and business stakeholders.
• Not hoppy, has stability in their resume
• Strong at looking at process improvements, reviewing current processes with the business
• Ability to work within billing systems + perform manual transport and manual data review before it gets processed in our system
• experience recreating spreadsheets manually to repopulate the accounts + running reports
• Run a report and audit what you run to ensure data accuracy is there, running and validating reports.
• Knows the payors and that medicare and Medicaid has fee schedules, diagnosis updates within medicare, need someone to find the discrepancy and fix the errors and go back and reconstruct the reporting
• Ability to help manually create files to update fee schedules, knowing fee schedule expires every October 1st for Arizona Medicaid and that September 30th is the final day.

DAY TO DAY:

The Auditor, Quality Control & Billing Data position is responsible for ensuring the quality, accuracy, and reliability of billing and collection processes, data, and supporting software applications within Patient Financial Services. This role specifically focuses on billing software updates, including Medicare and commercial insurance fee schedule updates, diagnosis and code updates, and system automation changes that impact billing and collection workflows, assist with compliance audits. The position executes test plans, develops and documents test cases, and performs post‑implementation validation to ensure system changes function as intended and do not negatively impact billing accuracy, reimbursement, or compliance. The role analyzes billing data, validates system logic, and reports on quality metrics, trends, and risks, serving as a key quality and data integrity partner to Billing, Collections. This position reports to Director, Patient Financial Services. Also you will work within the system called Centricity Group Management, and use Excel daily.

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