Auditor, Quality Control & Billing Data
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Are you ready to elevate your career to new heights? PHI Health is looking for dynamic, driven individuals to join our team. We are committed to providing top-tier emergency medical services with unmatched speed and efficiency, saving lives when every second counts. By supporting our mission from the ground, you will play a crucial role in orchestrating the seamless operations that keep our advanced fleet soaring and our patients safe.
With PHI Health you’ll collaborate with the best minds in the industry, driving initiatives that enhance our services and expand our reach to those who need it most. If youre passionate about making a difference and thrive on challenges, PHI Health offers an extraordinary opportunity to impact lives and develop your professional career in a meaningful way.
Who We Are:
PHI Health is the leading air ambulance provider in the United States. With an unmatched safety record and the best aviation, medical and communication specialists in the field, we set the standard in the air medical industry. We transport more than 22,000 patients each year from our more than 80 bases across the country, all while offering services and outreach education to local communities and leading healthcare systems. Our mission is simple: move communities to health while maintaining the highest standard of safety, period.
Job Summary:
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.
Responsibilities Include:
Review Unbilled reports, locate missing accounts, Stuck claims (billing manager), Aged AR to identify claims and send them to Managers/Leads to review for appropriate processing.
Assist with Auditor requests (Deloitte), compiling audit files and submitting them for review within the timeframe given.
Process collection reports for internal approvals and for submission to outside agencies.
Work with Waystar and ICE to ensure claim logic is updated and functioning correctly in response to payer rule and policy changes.
Process and maintain special programs within the billing system (e.g., phamcnote, acputaction).
Maintain, update, and assist with audit tracking tools used for quality control and compliance monitoring.
Maintain, update, and assist with Excel templates used for billing, collections, quality tracking, and reporting.
Maintain, update, and assist with exception reports to support billing accuracy and issue resolution.
Maintain, update, and assist with queue creation and management to support billing and collection workflows.
Maintain, update, and assist with system live reporting that feeds work queues and operational processes.
Maintain, update, and assist with generating letters within the billing system to support billing, collections, and compliance activities.
Perform other duties as assigned.
Ensure all testing and validation activities adhere to established quality standards, internal controls, and best practices.
Maintain accurate and complete documentation of test cases, test results, defects, and remediation actions.
Take ownership of the quality and reliability of billing system releases, particularly those impacting billing functionality, payer compliance, fee schedule updates, and diagnosis/code changes.
Provide timely, clear, and constructive feedback to stakeholders to support continuous improvement of system quality, billing accuracy, and operational reliability.
Schedule/Location:
The Successful Candidate Will Have:
High School Diploma or equivalent required; Associates in business, Finance, Healthcare Administration, or a related field preferred.
3–5 years of experience in medical billing, collections, revenue cycle, or healthcare data analysis.
Demonstrated experience performing audits, quality reviews, or compliance checks within a healthcare billing environment preferred.
Experience with billing software and understanding of Medicare and insurance fee schedules, as well as diagnosis updates.
Analytical Thinking: Excellent problem-solving skills with the ability to interpret data, identify trends, and provide actionable recommendations.
Business Acumen: Ability to translate business needs into technical solutions and explain analytical concepts to non-technical stakeholders.
Communication Skills: Strong verbal and written communication skills for effective collaboration, documentation, and presentation of findings.
Attention to Detail: High level of accuracy in work and commitment to data quality.
Project Management: Ability to manage multiple projects, prioritize tasks, and meet deadlines in a dynamic environment.
For the purposes of the Arizona Medical Marijuana Act, this position is designated as safety sensitive.
Compensation:
Our Core Competencies:
Safe. We are absolute in our belief in the tenets of Destination Zero and that Zero is not only achievable, but the only acceptable outcome.
Efficient. We are focused on outcomes that are smart and responsible by making the best use of our resources to maximize overall productivity and achieve sustainable profitability as a high performing organization.
Quality. We are committed to ensuring excellent organizational performance which produces sustainable and reliable outcomes.
Service. We are dedicated to the service of our customers, our communities and each other.
Behavioral Competencies:
Show Real Grit - With safety as your guide, you pursue every task with drive, energy and a commitment to finish. You give all that the situation requires, even in the face of resistance or setbacks. You serve with resiliency, determined to help others.
Perform with Integrity – You always do what’s right.
Be a great team player - In order to achieve the best possible outcomes for our patients and customers, you must treat others with dignity and respect, and be committed to working as a cohesive team toward a common purpose.
Give and Get Help - Giving your all in the service of others can tax your wellbeing. Know the signs and have the courage to give help and get help when needed.
The PHI Health Advantage:
For more than 40 years, our company has been providing critical air medical transport services across the country. As an organization, we outfit each aircraft we fly with the most advanced technology, subject our crews to the most rigorous protocols and training and pioneer the most-forward thinking safety program in the country.
Everything that we do comes back to the safety of our crew and our patients. Our accident rate is well below the national average, and we were the first to receive the Vision Zero Aviation Safety Award. This belief has guided us towards a number of industry firsts and has given us the highest safety rating in the industry.
Sign on bonus up to $7,500DISCLAIMER
The above Statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed, as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.
PHI, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws
