Auditor, Reimbursement
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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 NSA Project Coordinator is responsible for ensuring transparency in No Surprises Act audits, project tracking, payer issue tracking by protecting patients from unexpected medical bills, in accordance with federal law. The Project Coordinator will coordinate cross-functional teams, manage timelines, and serve as the subject matter expert on NSA requirements.
Responsibilities Include:
- Track, analyze, and report audit findings related to No Surprises Act (NSA) compliance, with a specific focus on adherence to statutory timelines by IDR Entities, payers, and providers throughout the dispute resolution and billing process.
- Monitor and assess implementation of key NSA components such as IDRE Select Changes within the Independent Dispute Resolution (IDR) processes.
- Lead and manage end-to-end NSA audit engagements, including audit planning, testing of operational controls, and documentation of compliance with statutory timelines and notice delivery standards.
- Design and execute internal audit frameworks to assess compliance with the No Surprises Act (NSA), including protections against balance billing and out-of-network cost-sharing violations.
- Track, analyze, and report audit findings related to NSA requirements, ensuring timely development and execution of change process plans
- Evaluate internal processes to ensure adherence to federal requirements under Title I, Division BB of the Consolidated Appropriations Act, 2021, and associated interim final rules from HHS, DOL, and Treasury.
- Collaborate closely with internal stakeholders, including legal, compliance, revenue cycle, billing, provider relations, payer contracting, and IT teams to operationalize NSA mandates and close compliance gaps.
- Perform detailed audits of provider-patient communications, explanation of benefits (EOBs), and out-of-network billing practices to ensure full alignment with NSA transparency provisions.
- Analyze payer behavior and IDR Entity determinations to identify trends, systemic risks, or improper denials related to NSA-eligible claims and dispute resolutions.
- Prepare and present high-quality audit reports with actionable recommendations for executive leadership, emphasizing risk mitigation and ongoing NSA compliance strategies.
- Provide real-time regulatory intelligence and guidance to internal departments based on federal updates from CMS, HHS, DOL, and the Department of the Treasury.
- Ensure operational policies are continuously updated to reflect the latest federal guidance, FAQs, and court rulings impacting NSA provisions and enforcement.
- Lead targeted audits of high-risk NSA domains such monthly balance billing review
- Support the maintenance of enterprise-wide NSA compliance documentation, audit trails, and standard operating procedures (SOPs) aligned with federal expectations.
- Participate in strategic initiatives and internal committees to guide the organization’s approach to change processes
- Any other duties as assigned.
- Supports company Safety Management System activities.
- Comply with company HS&E policies and procedures.
- Understands and provides visible support of Destination Zero
Schedule/Location:
The Successful Candidate Will Have:
- High School Diploma or equivalent required; Associate’s degree preferred.
- 3+ years of experience in medical collections or healthcare revenue cycle management.
- 1+ year in an SME, leadership or supervisory role preferred.
- Strong understanding of commercial, Medicare, and Medicaid payer policies.
- In-depth knowledge of healthcare billing systems and payer portals.
- Familiarity with Medicare, Medicaid, and commercial payer guidelines.
- Excellent problem-solving and critical thinking skills.
- Strong analytical, organizational, and communication skills.
- Ability to handle multiple tasks in a fast-paced environment.
- Proficiency in Excel and other Microsoft Office tools.
- This position is designated Safety Sensitive for purposes of the Arizona Medical Marijuana Act.
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
