Auditor, Quality Control & Billing Data

PHI Health•Phoenix, AZ

1d•Onsite

About The Position

Auditor, Quality Control & Billing Data Join Our Life-Saving Team and take advantage of a sign on bonus up to $7,500 ! Apply today! 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 you're 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.

Requirements

High School Diploma or equivalent required; Associate's 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.

Responsibilities

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.