***This position will be in our Conshohocken, PA office 5 days a week, hours 9:00 am to 5:00 pm.*** Position Summary • The QA Team audits critical fields on all provider HCFAs & UBs against re-priced MedRisk Generated EOBs or MedRisk Generated HCFAS before mailing. • Trends are observed, identifying key systematic issues. • QA team offers above standard quality on all bills before mailed. • Confirming accuracy of billing data, routinely interacts with medata application for re-pricing incorrect bills. Primary Duties & Responsibilities • Audit all Workers Compensation bills re-priced through “Medata or Bridge”. • Meet/exceed audit productivity and quality standards to maintain the integrity of the claim/bill. • Maintain and report individual and team claim/bill backlogs, ensuring that all claims are QA’d within printed receive dates, audited within objective 2 days TAT goal. • Determine error sources and accurate entry of claim audits, document with accuracy in QA Printing Production Excel log kept on Folks2 drive • Interpret and understand MedRisk carrier contracts “CQ” and basic knowledge of state guidelines compliance, and HIPPA regulations. • Review error trend reports and participate in rebuttal process for continuous improvement; providing feedback to Quality Assurance and CDT teams. • Provide one-on-one training as needed with associates and actively participate in Quality Assurance Team meetings. • Perform focused audits, working with varying types of data. • Complete other clerical or support duties as assigned. • Lead by example, demonstrate good promptness and adhere to company policies for yearly attendance. Qualifications • Detail-oriented with strong organizational, time management and problem-solving abilities. • Preferred extensive knowledge of general Workers Compensation billing procedures including knowledge of CPT Coding, ICD-10, and HCPC • Strong organizational, time management and project management skills with multi-tasking abilities. • Manage multiple priorities, maintain confidentiality, and display a courteous, patient, and helpful attitude toward employees. • Basic understanding of HIPPA policies and procedures. • Ability to multi-task, adapt quickly to change and follow projects through completion • MS Office Products; Word, Excel and Outlook experience Competencies (choose at least 4)