Charge Review Associate II

About the role

The Charge Review Associate II performs intermediate-level review, validation, and correction of patient charges; posts and reconciles patient and insurance payments; resolves account discrepancies including refund and recoupment processing. This position interacts with payers, internal departments, and patients to ensure accuracy, compliance, and excellent customer service across the billing and revenue cycle process.

Responsibilities

• Performs intermediate-level review, validation, and correction of patient charges
• Posts and reconciles patient and insurance payments
• Solves account discrepancies including refund and recoupment processing
• Interacts with payers, internal departments, and patients to ensure accuracy, compliance, and excellent customer service

Requirements

• High school diploma or equivalent
• A minimum of three (3) years of experience in medical billing, charge review, and payment posting in a healthcare setting
• Knowledge of the revenue cycle, Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System (HCPCS) and International Classification of Diseases (ICD-10) codes and payer billing guidelines
• Familiarity with managed care plans
• Strong computer skills, including Microsoft Office, Excel, and electronic health record (EHR)/practice management systems
• Knowledge of medical terminology
• Community Clinic experience highly desired

Qualifications

High school diploma or equivalent

A minimum of three (3) years of experience in medical billing, charge review, and payment posting in a healthcare setting

Knowledge of the revenue cycle, Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System (HCPCS) and International Classification of Diseases (ICD-10) codes and payer billing guidelines

Familiarity with managed care plans

Strong computer skills, including Microsoft Office, Excel, and electronic health record (EHR)/practice management systems

Knowledge of medical terminology

Community Clinic experience highly desired

Skills

• Intermediate-level review, validation, and correction of patient charges
• Posting and reconciling patient and insurance payments
• Solving account discrepancies including refund and recoupment processing
• Interacting with payers, internal departments, and patients
• Ensuring accuracy, compliance, and excellent customer service
• Revenue cycle management
• CPT/HCPCS and ICD-10 codes
• Payer billing guidelines
• Managed care plans
• Microsoft Office, Excel, and EHR/PM systems
• Medical terminology

Benefits

Competitive pay

Generous paid time off

Low-cost health, dental, vision & life insurance

Pay

$25.30 - $35.42 on an hourly basis

Schedule

N/A