Charge Correction Specialist/Floater - Healthcare Partners Investments

About the role

The Charge Correction Specialist/Floater is responsible for reviewing, logging and correcting all charge errors and claim submission errors related to professional accounts. They are also responsible for the upkeep of the system master files related to billing including requests to add new physicians and insurance companies. As needed they will act as backup for the professional biller and appeals/denial team.

Responsibilities

• 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.
• Must 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.
• Must be able to handle stressful situations, multi-task a variety of responsibilities and work under strict timelines.
• Employee is expected to be proficient in all systems, programs and processes associated with their current position within the CBO.
• Responsible for the upkeep of billing master files in current billing systems. These duties include, but not limited to, adding of new information per requests received, updating new addresses and other information as it changes, maintenance of NDC numbers, maintenance of TSPID numbers and the addition of new charge/procedure/CPT codes.
• Expected to stay up to date on claim/billing and insurance regulations to ensure our claims are filed correctly as to not delay or reduce reimbursement.
• Effectively working and cooperating with supervisors, co-workers and clients.
• Following the directions of supervisors.
• Refraining from causing or contributing to disruption in the workplace.
• Regular and Reliable attendance.
• Performs other duties as assigned.

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