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Job Requirements of Auditing and Monitoring Analyst:
High School or GED required
WORK EXPERIENCE/TRAINING/ADDITIONAL REQUIREMENTS
• Experience with insurance billing (regulatory requirements) including but not limited to insurance, Medicaid and Medicare payors required
• Experience with prior authorizations and electronic health records required
• Experience in a healthcare setting (behavioral health and/or primary care settings) required
• Proficient in Excel, Word and other Microsoft products required
LICENSURE/CERTIFICATION
N/A
SUPERVISORY RESPONSIBILITY
• Oversees day-to-day operations and tasks of supervisees
• Completes performance development/AIM process
• Time card management – manages time sheets
• Ensures progress and development is made toward departmental strategic plan goals
Compass Health Network is a nonprofit health care organization offering accessible, comprehensive, & compassionate behavioral health, substance use treatment, family medicine and dental services throughout Missouri. Our network of care includes Royal Oaks Hospital and Adapt of Missouri. We are both a Federally Qualified Health Center (FQHC) and a Community Mental Health Center (CMHC). Operating only from the highest ethical and professional standards, we provide access to innovative care designed to meet the health needs of the communities we serve.
About Compass Health Network
At Compass Health Network, we are a nonprofit organization committed to making a meaningful impact on communities across Missouri. We offer a wide range of essential services, including behavioral health, substance use treatment, family medicine, and dental care. As both a Federally Qualified Health Center (FQHC) and a Community Mental Health Center (CMHC), we are dedicated to providing high-quality care that addresses the diverse needs of those we serve. Our mission is simple but powerful: Inspire Hope. Promote Wellness.
Why join us?
At Compass Health Network, we’re proud of the dedicated team we’ve built. We believe our people are our greatest strength – passionate, skilled, and committed to making a positive impact in the lives of others. Here, you’ll find a workplace that values collaboration, growth, and the opportunity to be part of something bigger.
We offer more than just a job; we provide a platform for personal and professional growth. As a member of our team, you’ll enjoy:
-
• Opportunities for career advancement
• Professional development and licensure supervision
• Mentorship programs
• Tuition reimbursement & scholarships
• Employee Assistance Program
• Headspace Access for mental well-being
• Generous paid time off and holidays
• NHSC Loan Repayment eligibility
We’re looking for individuals who are eager to bring their talents and dedication to a team that’s focused on making a real impact. If you're ready to contribute to meaningful work and grow alongside a passionate group of professionals, we’d love to hear from you! If you’re looking for a place where your work truly matters & where you can grow, we look forward to hearing from you!
Compass Health is an Equal Opportunity/Affirmative Action Employer and an E-Verify participant.
Do you meet the requirements for this job?
Auditing and Monitoring Analyst
Compensation: $17.89/hr.
The Auditing and Monitoring Analyst is responsible for auditing and monitoring of financial eligibility to ensure accuracy of entry of payer sources for improved financial outcomes. This position will serve as liaison to support services leadership and revenue cycle and will work to build and maintain working relationships with all team members and department leaders. The Analyst includes data collection, communication to departments as described, setting deadlines, monitoring, and summarizing progress to leadership.
This is a full-time, benefit eligible position working Monday-Friday, 8am - 5pm. This is a remote position open to Missouri residents only.
ESSENTIAL FUNCTIONS
• Responsible for identifying when Medicaid coverage needs to be applied for behavioral health services.
• Responsible for monthly audits of slide encounters in Nextgen EHR to review for missed Medicaid applications
• Responsible for identifying trends and opportunities regarding missing coverage (financial) and communicating trends to leadership.
• Responsibilities may include providing training or creating processes for improved accuracy and efficiency
• Responsible for collection of data regarding coverage and slide accounts and reporting on a weekly basis to supervisor and leadership (financial and operations)
• Identifies areas of concern and seeks knowledge and guidance as needed
• Other duties as assigned
Job Requirements:
High School or GED required
WORK EXPERIENCE/TRAINING/ADDITIONAL REQUIREMENTS
• Experience with insurance billing (regulatory requirements) including but not limited to insurance, Medicaid and Medicare payors required
• Experience with prior authorizations and electronic health records required
• Experience in a healthcare setting (behavioral health and/or primary care settings) required
• Proficient in Excel, Word and other Microsoft products required
LICENSURE/CERTIFICATION
N/A
SUPERVISORY RESPONSIBILITY
• Oversees day-to-day operations and tasks of supervisees
• Completes performance development/AIM process
• Time card management – manages time sheets
• Ensures progress and development is made toward departmental strategic plan goals
Compass Health Network is a nonprofit health care organization offering accessible, comprehensive, & compassionate behavioral health, substance use treatment, family medicine and dental services throughout Missouri. Our network of care includes Royal Oaks Hospital and Adapt of Missouri. We are both a Federally Qualified Health Center (FQHC) and a Community Mental Health Center (CMHC). Operating only from the highest ethical and professional standards, we provide access to innovative care designed to meet the health needs of the communities we serve.
About Compass Health Network
At Compass Health Network, we are a nonprofit organization committed to making a meaningful impact on communities across Missouri. We offer a wide range of essential services, including behavioral health, substance use treatment, family medicine, and dental care. As both a Federally Qualified Health Center (FQHC) and a Community Mental Health Center (CMHC), we are dedicated to providing high-quality care that addresses the diverse needs of those we serve. Our mission is simple but powerful: Inspire Hope. Promote Wellness.
Why join us?
At Compass Health Network, we’re proud of the dedicated team we’ve built. We believe our people are our greatest strength – passionate, skilled, and committed to making a positive impact in the lives of others. Here, you’ll find a workplace that values collaboration, growth, and the opportunity to be part of something bigger.
We offer more than just a job; we provide a platform for personal and professional growth. As a member of our team, you’ll enjoy:
-
• Opportunities for career advancement
• Professional development and licensure supervision
• Mentorship programs
• Tuition reimbursement & scholarships
• Employee Assistance Program
• Headspace Access for mental well-being
• Generous paid time off and holidays
• NHSC Loan Repayment eligibility
We’re looking for individuals who are eager to bring their talents and dedication to a team that’s focused on making a real impact. If you're ready to contribute to meaningful work and grow alongside a passionate group of professionals, we’d love to hear from you! If you’re looking for a place where your work truly matters & where you can grow, we look forward to hearing from you!
Compass Health is an Equal Opportunity/Affirmative Action Employer and an E-Verify participant.