Charge Review Analyst – Medical Billing Specialist

UF Health; Manhattan Beach (FL); On-site; USD 38,000 - 56,000; Full time

Job summary

UF Health is seeking an experienced Medical Billing Clerk to perform timely review of charges in the charge review workflow. You will verify completeness, apply edits, and research codes, modifiers, and diagnosis codes according to payor requirements within the Epic system.

Responsibilities include reviewing patient encounters, resolving payor edits, identifying delays, reporting trends, and communicating with management. Associates degree preferred; HS diploma required.

Qualifications

• 2 years computer experience in medical billing.
• 2 years healthcare experience in medical billing preferred.
• 2 years medical billing software required.
• 2 years experience with online payor tools preferred.
• Associates preferred for education.
• Medical Terminology Certificate preferred at time of hire.

Responsibilities

• Accurately perform actions on the charges in the charge system.
• 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.
• Inform Team Leader on the status of work and unresolved issues.
• 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 to resolve charge issues.
• Review and work assigned wq's daily to make corrections and submit to the payor.

Skills

Computer literacy

Medical billing experience

Medical billing software

Payor tools exposure

Education

High School diploma or GED

Associates degree preferred

Medical Terminology certificate preferred

Job description

UF Health is seeking an experienced Medical Billing Clerk to perform timely review of charges in the charge review workflow. You will verify completeness, apply edits, and research codes, modifiers, and diagnosis codes according to payor requirements within the Epic system.

Responsibilities include reviewing patient encounters, resolving payor edits, identifying delays, reporting trends, and communicating with management. Associates degree preferred; HS diploma required.