Charge Review Specialist | BG -10 Sat Clinics | Full Time | Days

Job description

Overview
Responsible for performing timely review of charges in the charge review wqs. Verify completeness of the charge information, add and/or update as needed. Research charges for appropriate codes, modifiers and diagnosis codes based on edits within the Epic system. Utilize resources and tools to review and interpret key data elements following company policy for contracted payors.
Responsibilities
Accurately perform actions on the charges in the charge
review wqs for each patient encounter
Review, verify and interpret payor edits in the system
Timely identify, research and resolve issues that may cause
delays in resolution
Inform Team Leader on the status of work and unresolved
issues. Alert Team Leader of backlogs or issues requiring
immediate attention.
Identify clinic trends and provide essential reporting functions
as required
Perform special projects as assigned by the Team Lead or
Manager
Respond and send emails to different levels of management
within the Business Groups, Clinics, etc. to resolve charge
issues
Review and work assigned wq's on a daily basis to make any
corrections, resolve edits and submit to the payor
Qualifications
Experience Requirements:
2 years Computer experience in medical billing required
2 years Health care experience in medical billing preferred
2 years Medical Billing software required
2 years Experience with online payor tools preferred
Education:
High School Diploma or GED equivalent required Associates preferred
Certificate/Licensure:
Medical Terminology Certificate preferred at time of hire Additional Duties: Additional duties as assigned may vary.
UFJPI IS AN EQUAL OPPORTUNITY EMPLOYER AND DRUG FREE WORKPLACE
Accurately perform actions on the charges in the charge
review wqs for each patient encounter
Review, verify and interpret payor edits in the system
Timely identify, research and resolve issues that may cause
delays in resolution
Inform Team Leader on the status of work and unresolved
issues. Alert Team Leader of backlogs or issues requiring
immediate attention.
Identify clinic trends and provide essential reporting functions
as required
Perform special projects as assigned by the Team Lead or
Manager
Respond and send emails to different levels of management
within the Business Groups, Clinics, etc. to resolve charge
issues
Review and work assigned wq's on a daily basis to make any
corrections, resolve edits and submit to the payor
Experience Requirements:
2 years Computer experience in medical billing required
2 years Health care experience in medical billing preferred
2 years Medical Billing software required
2 years Experience with online payor tools preferred
Education:
High School Diploma or GED equivalent required Associates preferred
Certificate/Licensure:
Medical Terminology Certificate preferred at time of hire Additional Duties: Additional duties as assigned may vary.
UFJPI IS AN EQUAL OPPORTUNITY EMPLOYER AND DRUG FREE WORKPLACE