Charge Correction Specialist/Floater FT

Essential Functions

• Must possess effective and efficient communication, computer, phone and Microsoft Office skills.
• Must be able to interpret various charge correction requests, determine their validity and perform necessary actions.
• Responsible for completing any and all required actions to correct charge/claim issues so that claims can be re-filed and processed correctly by the payors.
• Must be able to recognize and address claim issues encountered through AR billing system and billing scrubber system.
• Maintain a positive working relationship with any and all entities they may come in contact with on a daily basis. This includes, but not limited to, clients, physician office staff, physicians, payors, co-workers, management and customers.
• Handle stressful situations, multi-task a variety of responsibilities and work under strict timelines.

Functional Accountabilities

• Identifies all charge entry errors through electronic claims submission rejections, return reports and denials.
• Researches and identifies the charge entry errors and makes all necessary corrections to resolve the issue.
• Receives charge entry correction requests from client offices and performs necessary research to verify the requested correction as valid. After verified makes all necessary corrections to claim.
• Responds to client requests within 1 business day to advise correction completed or communicates expected turn around time if completion will take longer.
• Works all claim rejections received by resolving all issues and re-filing corrected claim.
• Completes requests for master file revisions received from clients, physician/staff, team members and management.
• Reviews master files to make sure their set up is complete and all the information is correct as entered.
• Maintains NDC numbers in current billing system and adds new ones as they are received.
• Maintains TSPID numbers in current billing system and adds new ones as they are received.
• Tracks errors by doctor/client, error type and correction made so that this information can be reported to management for training of appropriate staff.
• Establishes and maintains a professional working relationship with all clinics/staff in all manners of communication.
• Acts as back-up biller and performs all billing functions as needed.
• Affixes assistance with special projects and/or reports created for clients/staff.
• Performs back up support for denial management team as instructed by management.
• Stays up to date on billing/claim regulations to ensure claims filed by the CBO are correct and meet all established criteria/guidelines.
• Makes sure all required logs/reports are completed as assigned.
• Works assigned accounts to completion daily.
• Familiar with each client and any special handling required for their particular billing.
• Reports all trends identified through researching errors so that they may be addressed and corrected to reduce delays in claim processing.

Qualifications

• High School Diploma or equivalent; 2 years college preferred
• Minimum 3 years experience in medical business office operations
• EPIC and Allscripts billing system experience preferred

What We Offer

• Medical, dental, vision, and prescription coverage
• Life and AD&D coverage
• Availability of short- and long-term disability
• Flexible financial benefits including FSAs, HSAs, and Daycare FSA
• 401(k) and access to retirement planning
• Employee Assistance Program (EAP)
• Paid holidays and vacation