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

UF Health; Manhattan Beach (FL); Sur place; USD 38 000 - 56 000; Plein temps

Résumé du poste

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.

Responsabilités

• 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.

Connaissances

Computer literacy

Medical billing experience

Medical billing software

Payor tools exposure

Formation

High School diploma or GED

Associates degree preferred

Medical Terminology certificate preferred

Description du poste

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