Charge Master Services Expert - Finance - Full Time

AtlantiCare; Egg Harbor Township (NJ); On-site; USD 85,000 - 105,000; Full time

Benefits offered by this job

Generous PTO

Medical insurance

Retirement plans

Disability coverage

Life insurance

Tuition reimbursement

FSAs

Job summary

AtlantiCare is seeking a Charge Master Analyst/Expert to optimize the organization’s revenue cycle. You will manage the PBO platform workflows, ensure accurate charge routing, and drive clean claims with Medicare billing proficiency.

The role requires 5 years in CDM maintenance, AAPC certification (or within 1 year of hire), and expert knowledge of behavioral health and acute care reimbursement models. Expect collaboration across clinical and finance teams to strengthen financial health.

Qualifications

• Bachelor’s degree in healthcare or related field.
• AAPC Coding Certification (Professional & Technical) required for hire or must be obtained within 1 year of employment.
• 5 years of experience in CDM maintenance and Medicare billing.
• Expert proficiency with CDM tools (e.g., Panacea).
• Strong understanding of Behavioral Health, ASC procedures, and acute care reimbursement models.

Responsibilities

• Oversee and minimize revenue leakage through the Charge Master (PBO) platform.
• Resolve billing bottlenecks and ensure DNFB, CEWL, and EBEW targets are met.
• Maintain charge router accuracy and final claim generation.
• Ensure compliance with government and commercial audits.
• Collaborate with clinical and revenue cycle teams to optimize processes.

Skills

PBO proficiency

CDM maintenance

Medicare billing

Behavioral Health

Panacea CDM tools

Healthcare analytics

Education

Bachelor’s degree in healthcare

AAPC Coding Certification

Tools

Panacea

Job description

• Education: Bachelor’s degree in healthcare,
• Certification: AAPC Coding Certification (Professional & Technical) required for hire or must be obtained within 1 year of employment.
• PBO Expert Expertise: Proven mastery of the PBO (Patient Business Office) platform workflows, including the interrelation between clinical triggers, charge routers, and final claim generation.
• Specialized Knowledge: Expert-level understanding of Behavioral Health, ASC-covered procedures, and acute care reimbursement models.
• Experience: 5 years in CDM maintenance and Medicare billing. Expert proficiency in CDM tools (e.g., Panacea).

JOB DESCRIPTION

Charge Master Analyst/Expert

• Education: Bachelor’s degree in healthcare,
• Certification: AAPC Coding Certification (Professional & Technical) required for hire or must be obtained within 1 year of employment.
• PBO Expert Expertise: Proven mastery of the PBO (Patient Business Office) platform workflows, including the interrelation between clinical triggers, charge routers, and final claim generation.
• Specialized Knowledge: Expert-level understanding of Behavioral Health, ASC-covered procedures, and acute care reimbursement models.
• Experience: 5 years in CDM maintenance and Medicare billing. Expert proficiency in CDM tools (e.g., Panacea).

POSITION SUMMARY

This role is a key driver of financial health, responsible for minimizing revenue leakage and ensuring 24/7 regulatory compliance. You will utilize advanced analytics to oversee the resolution of billing bottlenecks DNFB, CEWL, EBEW and ensure that the PBO platform remains a high-performing, compliant engine for all facility and professional charges.

Key Performance Indicators (KPIs)

• Clean Claim Velocity: Maintain a 48-hour release target by eliminating PBO charge router edits and CDM-related pre-bill holds.
• DNFB & CEWL Reduction: Maintain unbilled account volumes within top-quartile industry benchmarks through aggressive root cause resolution.
• Charge Integrity Rate: Achieve >99% accuracy in annual audits of the PBO-to-Clinical system mapping.
• Audit Defensibility: Maintain a 100% compliance rate with government and commercial audit deadlines.

QUALIFICATIONS

EDUCATION

• Bachelor’s degree in healthcare,

Certification: AAPC Coding Certification (Professional & Technical) required for hire or must be obtained within 1 year of employment.

Total Rewards at AtlantiCare

At AtlantiCare, We Believe In Supporting The Whole Person. Our Market-competitive Total Rewards Package Is Designed To Promote The Physical, Emotional, Social, And Financial Well-being Of Our Team Members. We Offer a Comprehensive Suite Of Benefits And Resources, Including:

• Generous Paid Time Off (PTO)
• Medical, Prescription Drug, Dental & Vision Insurance
• Retirement Plans with employer contributions
• Short-Term & Long-Term Disability Coverage
• Life & Accidental Death & Dismemberment Insurance
• Tuition Reimbursement to support your educational goals
• Flexible Spending Accounts (FSAs) for healthcare and dependent care
• Wellness Programs to help you thrive
• Voluntary Benefits, including Pet Insurance and more

Benefits offerings may vary based on position and are subject to eligibility requirements.

Join a team that values your well-being and invests in your future.

ABOUT US

Total Rewards at AtlantiCare

At AtlantiCare, We Believe In Supporting The Whole Person. Our Market-competitive Total Rewards Package Is Designed To Promote The Physical, Emotional, Social, And Financial Well-being Of Our Team Members. We Offer a Comprehensive Suite Of Benefits And Resources, Including:

• Generous Paid Time Off (PTO)
• Medical, Prescription Drug, Dental & Vision Insurance
• Retirement Plans with employer contributions
• Short-Term & Long-Term Disability Coverage
• Life & Accidental Death & Dismemberment Insurance
• Tuition Reimbursement to support your educational goals
• Flexible Spending Accounts (FSAs) for healthcare and dependent care
• Wellness Programs to help you thrive
• Voluntary Benefits, including Pet Insurance and more

Benefits offerings may vary based on position and are subject to eligibility requirements.

Join a team that values your well-being and invests in your future.

Pay Transparency

In order to support the Fair Compensation Strategy by the US Govt., HR Dept., clients are required to adhere to "Pay Transparency Law" in impacted states, which mandate employers to list salary ranges in job advertisements and promotions.

AtlantiCare is an Equal Opportunity Employer