Charge Review Specialist | BG -10 Sat Clinics | Full Time | Days

UF Health

Jacksonville, Florida

JOB DETAILS
LOCATION
Jacksonville, Florida
POSTED
30+ days ago
Overview:

Responsible for performing timely review of charges in the charge review wqs. Verify completeness of the charge information, add and/or update as needed. Research charges for appropriate codes, modifiers and diagnosis codes based on edits within the Epic system. Utilize resources and tools to review and interpret key data elements following company policy for contracted payors.

Responsibilities:
Accurately perform actions on the charges in the charge
review wqs for each patient encounter
 
Review, verify and interpret payor edits in the system
Timely identify, research and resolve issues that may cause
delays in resolution
 
Inform Team Leader on the status of work and unresolved
issues. Alert Team Leader of backlogs or issues requiring
immediate attention.
 
Identify clinic trends and provide essential reporting functions
as required
 
Perform special projects as assigned by the Team Lead or
Manager
 
Respond and send emails to different levels of management
within the Business Groups, Clinics, etc. to resolve charge
issues
 
Review and work assigned wq's on a daily basis to make any
corrections, resolve edits and submit to the payor
Qualifications:

Experience Requirements:

 

2 years Computer experience in medical billing required

2 years Health care experience in medical billing preferred

2 years Medical Billing software required

2 years Experience with online payor tools preferred

 

Education:

 

High School Diploma or GED equivalent required Associates preferred

 

Certificate/Licensure:

 

Medical Terminology Certificate preferred at time of hire Additional Duties: Additional duties as assigned may vary.

 

UFJPI IS AN EQUAL OPPORTUNITY EMPLOYER AND DRUG FREE WORKPLACE

About the Company

U

UF Health