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Billing Specialist
4 months ago
Job Title: Charge Capture Processor
Duration: 03-06+ Months + High possibility of extension
Location: Rancho Mirage, CA 92270
Job Duties:
Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
Reviews assigned charge capture work queue daily including but not limited to:
Filtering on priority based on high dollar and date of service
Matching E & M services to procedures
Validation of Bill area, Service provider and billing provider
Validation of New verses established patient
Validation of NDC numbers, proper quantity and administration code
Updates or validates date of injury as indicated.
Reviews documentation to ensure charge opportunities have not been missed.
Enters comment as indicated on each encounter touched.
Defers any encounter with a comment that requires coder or management review.
Updates insurance as indicated including running a current verification.
Maintains productivity standards per departmental policy.
Maintains encounter turnaround time to at or below three days .
Identifies and reports any system issues or provider trends affecting the charge capture process.
Attends coder continuing education and departmental meetings as instructed.
Enters and reconciles any manual batches as assigned.
Demonstrates team support by completing training in other positions and assisting as needed.
Performs other duties as assigned.
Required :
1 to 3 years in a clinic or hospital environment
Preferred:
3 to 5 years of medical billing experience with extensive knowledge in Physician and clinical based billing; Licensure/Certification
