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

University of Florida Jacksonville Physicians, Inc.; Jacksonville (FL); Presencial; USD 40.000 - 55.000; Tempo integral

Resumo da vaga

A healthcare organization in Jacksonville is seeking a detail-oriented candidate for a billing review position. Responsibilities include timely review and resolution of charge issues, utilizing the Epic system for accurate coding and modifications. Ideal candidates will have computer and medical billing experience, along with strong research and communication skills. The role offers a chance to contribute to important trends and reporting functions in a supportive environment. EOE and drug-free workplace.

Qualificações

• 2 Years Computer Experience in Medical Billing Required.
• 2 years Health care experience in medical billing preferred.
• 2 years Experience with online payer tools preferred.

Responsabilidades

• Perform timely review of charges in the charge review WQ for each patient.
• Verify and interpret payor edits in the Epic system.
• Identify and resolve issues causing delays in charge resolution.
• Provide essential reporting functions on clinic trends.

Conhecimentos

Medical Billing Software

Data Interpretation

Research Skills

Communication Skills

Formação

High School Diploma or GED

Associate's degree

Medical Terminology Certificate

Descrição da vaga

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

• 2 Years Computer Experience in Medical Billing Required.
• 2 years Health care experience in medical billing preferred.
• 2 years Medical Billing software required.

Education

• 2 years Experience with online payer tools preferred.

Certificate/Licensure

• High School Diploma or GED equivalent required.
• Associate's degree preferred.
• 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