Revenue Integrity Charge Capture Specialist

DHR Health; Edinburg (TX); On-site; USD 36,000 - 48,000; Full time

Job summary

DHR Health in Edinburg, TX is seeking a Registration Capture Specialist to analyze, post and correct hospital charges for compliant billing to insurers and patients. This full-time, day shift role supports Revenue Integrity and uses Paragon for patient registration and CPT/HCPCS coding inputs.

The ideal candidate has 1–2 years hospital billing experience, knowledge of medical terminology and strong communication skills. Proficiency in Excel and MS Office is preferred.

Qualifications

• High school diploma/GED is required.
• 1-2 years hospital billing experience may substitute for educational requirements.
• Previous healthcare experience (1-2 yrs.) is required, hospital experience preferred.
• Comprehensive knowledge of healthcare reimbursement, medical terminology, CPT, ICD, and HCPCS codes.
• Good written and verbal communication skills are required.
• Ability to read, write and speak English
• Ability to communicate clearly and concisely with all levels of management.
• Microsoft Office suite computer skills are required, Excel knowledge preferred.

Responsibilities

• Promotes the facility mission, vision and values by effectively communicating them to others.
• Receives batches from Urology Clinic and accurately registers patient in Paragon
• Input CPT and/or HCPCS procedure-based charges from patient 3M coding abstracts and modifiers into the patient accounting system.
• Identify and input charges according to primary and secondary procedural charges when multiple procedures are performed
• Review account for charge completeness and/or corrections and remove ‘bill hold’ flag indicator on completed accounts.
• Review and correct any date or quantity discrepancies on patient accounts.
• Accurately removes and adds incorrect charges or adds missing charges as needed.
• Daily obtains departmental charges and schedules to reconcile patient charge sheets against final daily schedule and input charges.
• Investigate, add or remove charges/codes for the coding department, Auditor and/or Billing Department as necessary.
• Identify charge codes and mark-up charge amounts for all departments
• Identify and input supply charges from “green sheets”
• Notify billers of corrections re-bills that are received from coders via email or abstracts.
• Identify and place accounts on hold to prevent late charges.
• Ability to run Crystal reports and Paragon reports
• Demonstrates knowledge in accessing EMR patient record for additional billing information needed.
• Other duties as assigned.

Skills

Billing experience

Medical terminology

CPT/ICD/HCPCS codes

English proficiency

Communication skills

Excel

MS Office

Education

High school diploma/GED

Tools

Paragon

Excel

Job description

DHR Health in Edinburg, TX is seeking a Registration Capture Specialist to analyze, post and correct hospital charges for compliant billing to insurers and patients. This full-time, day shift role supports Revenue Integrity and uses Paragon for patient registration and CPT/HCPCS coding inputs.

The ideal candidate has 1–2 years hospital billing experience, knowledge of medical terminology and strong communication skills. Proficiency in Excel and MS Office is preferred.