Charge Capture & Revenue Integrity Specialist

DHR Health; Edinburg (TX); Vor Ort; USD 42.000 - 56.000; Vollzeit

Zusammenfassung

DHR Health in Edinburg, TX is seeking a Registration Capture Specialist for Revenue Integrity. You will analyze, post and correct hospital charges to ensure compliant billing for insurers and patients. Prior hospital billing experience and knowledge of CPT/ICD/HCPCS codes are preferred.

The role emphasizes accuracy, timely data entry and collaboration with billing teams to resolve discrepancies and support optimal reimbursement.

Qualifikationen

• High school diploma or GED required.
• 1–2 years hospital billing experience may substitute for educational requirements.
• Healthcare experience required; hospital experience preferred.
• Comprehensive knowledge of healthcare reimbursement, medical terminology, CPT, ICD, and HCPCS codes.
• Good written and verbal communication skills are required.
• Ability to read, write and speak English
• Ability to communicate clearly and concisely with all levels of management.

Aufgaben

• Promotes the facility mission, vision and values by effectively communicating them to others.
• Receives batches from Urology Clinic and accurately registers patient in Paragon
• Input CPT and/or HCPCS procedure-based charges from patient 3M coding abstracts and modifiers into the patient accounting system.
• Ability to identify and input charges according to primary and secondary procedural charges, when multiple procedures are performed
• Review account for charge completeness and/or corrections and remove ‘bill hold” flag indicator on completed accounts.
• Review and correct any date or quantity discrepancies on patient accounts.
• Accurately removes and adds incorrect charges or adds missing charges as needed.
• Daily obtains departmental charges and schedules to reconcile patient charge sheets against final daily schedule and input charges.
• Investigate, add or remove charges/codes for the coding department, Auditor and/or Billing Department as necessary.
• Identify charge codes and mark-up charge amounts for all departments.
• Identify and input supply charges from “green sheets”
• Notify billers of corrections re-bills that are received from coders via email or abstracts.
• Identify and place accounts on hold to prevent late charges.
• Ability to run Crystal reports and Paragon reports
• Demonstrates knowledge in accessing EMR patient record for additional billing information needed.
• Other duties as assigned.

Kenntnisse

Communication skills

English proficiency

Analytical skills

Microsoft Excel

Office software

Ausbildung

High school diploma or GED

1-2 years hospital billing experience

Healthcare experience (1-2 years) preferred

Tools

CPT/ICD/HCPCS knowledge

Excel

Paragon EMR

Jobbeschreibung

DHR Health in Edinburg, TX is seeking a Registration Capture Specialist for Revenue Integrity. You will analyze, post and correct hospital charges to ensure compliant billing for insurers and patients. Prior hospital billing experience and knowledge of CPT/ICD/HCPCS codes are preferred.

The role emphasizes accuracy, timely data entry and collaboration with billing teams to resolve discrepancies and support optimal reimbursement.