Departmental Charge Specialist

Parkland Health; Dallas (TX); On-site; USD 55,000 - 75,000; Full time

Job summary

Parkland Health is seeking a detail-oriented professional to research charge discrepancies and collaborate with Patient Financial Services to correct accounts. The role involves supporting outpatient PM&R workflows and coordinating with management to improve billing processes.

You will monitor compliance, lead scheduling support within PM&R, and assist in staff development to ensure accurate coding and timely revenue restoration.

Qualifications

• Knowledge of third party payors and managed care; understand EOBs and coverage.
• Experience with CPT and ICD-9 coding.
• Proficient with word processing, spreadsheets, and database software.
• Detail oriented with strong mathematical and analytical skills.
• Excellent verbal and written communication; professional demeanor.
• Teamwork and interpersonal skills.

Responsibilities

• Researches and monitors compliance areas; recommends policy changes to improve consistency and effectiveness.
• Assists in reconciling patient accounts with charge discrepancies; coordinates with PFS to make timely adjustments.
• Audits accounts to ensure policy adherence; participates in quality monitoring and process improvements.
• Serves as a lead resource for scheduling within outpatient PM&R to ensure efficient operations.
• Coordinates workflow with PM&R management; identifies improvements for workflow and customer satisfaction.
• Provides PM&R expertise; acts as liaison to administrative management staff.
• Provides daily staff support for all PM&R functions.
• Assists with staff training, orientation and evaluation to maximize capabilities.
• Addresses patient scheduling complaints and escalates as needed.

Skills

Third party payors knowledge

CPT and ICD-9 coding

Computer skills

Analytical skills

Communication skills

Teamwork

Leadership

Education

High School Diploma

Tools

Word processing

Spreadsheet

Database software

Job description

Location: Main Hospital Bldg - 3rd Floor

Primary Purpose

Responsible for researching charge discrepancies and working with other departments/ organizations to make necessary corrections.

MINIMUM SPECIFICATIONS

Education

• High School Diploma

Experience

• Must have three years experience in a hospital or business office setting to include experience in the areas of medical billing, registration, or coding.

Equivalent Education And/or Experience

• None

Certification/Registration/Licensure

• None

Skills Or Special Abilities

• Must have knowledge of third party payors and understand managed care and insurance coverage, eligibility and explanation of benefits.
• Must have working knowledge of CPT and ICD-9 coding.
• Must be able to demonstrate a working knowledge of personal computers, to include word processing, spreadsheet, and database software.
• Must be detail oriented, possess basic mathematical skills, and have sharp analytical skills to resolve complex financial issues.
• Must demonstrate a positive demeanor, good leadership skills, good verbal and written communication skills, and be professional in both appearance and approach.
• Must demonstrate teamwork and interpersonal skills.

Responsibilities

• Researches and monitors areas of compliance, workflow, business processes and recommends policies, procedures and other changes to improve consistency and effectiveness.
• Assists in the management/reconciliation of patient accounts with charge discrepancies by researching issues and working with Patient Financial Services (PFS) to make account adjustments in a timely manner. Ensures complete and accurate information is provided for coding and billing to ensure revenue is maximized.
• Monitors and tracks staff quality and productivity by auditing accounts to ensure adherence to policies and procedures. Participates in ongoing quality monitoring, policy review and process improvement activities.
• Serves as a lead resource for scheduling within outpatient Physical Medicine & Rehabilitation (PM&R) to achieve effective and efficient operations.
• Works with PM&R management to coordinate workflow activities. Identifies ways to improve workflow and customer satisfaction and makes recommendations to management to improve upon these areas.
• Supports and provides expertise of outpatient PM&R to achieve desired practices and/or improvement. Serves as a primary resource and liaison to administrative management staff.
• Provides daily staff support for all functional areas in outpatient PM&R.
• Assists with the selection, orientation, training, counseling and evaluation of assigned employees to ensure maximum utilization of individual and group capabilities.
• Assists with patient complaints related to scheduling, guiding the situation toward resolution or directing/escalating to the proper resource for resolution.

Job Accountabilities

• Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals of the department and Parkland.
• Stays abreast of the latest developments, advancements, and trends in the field by attending seminars/workshops, reading professional journals, actively participating in professional organizations, and/or maintaining certification or licensure. Integrates knowledge gained into current work practices.
• Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the area. Develops effective internal controls designed to promote adherence with applicable laws, accreditation agency requirements, and federal, state, and private health plans. Seeks advice and guidance as needed to ensure proper understanding.