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Charge Review Specialist, Physician Billing

4 months ago

Allentown, United States St. Luke's Hospital Full time


St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.

The Charge Review Specialist, Physician Billing is responsible for all revenue capture for physician practices including, but not limited to, charge review and claim edit practice work queues to ensure all billing and insurance information is posted correctly and in a timely manner to maximize reimbursement as a clean paid claim.

JOB DUTIES AND RESPONSIBILITIES:

  • Performs queries to providers regarding documentation, diagnosis coding, and procedural coding

  • Maintains a high level of competence related to the policies of various insurance companies

  • Maintains a high level of competence with Epic related billing functions

  • Takes active role in team approach to functions within department

  • Release clean charges within 48 hours from all charge review and claim edit work queues

  • Perform daily charge reconciliation for those charges posted by specialist for reconciliation

PHYSICAL AND SENSORY REQUIREMENTS: 

Sitting for up to 8 hours per day, 3 hours at a time.  Consistent use of hands and fingers for typing, telephone, data entry, etc.   Occasional twisting and turning.  Uses upper extremities to lift and carry up to 10 pounds.  Stoops, bends and reaches above shoulder level to retrieve files.  Hearing as it relates to normal conversation.  Seeing as it relates to general vision.  Visual monotony when reading reports and viewing computer screen.

EDUCATION: 

High school diploma or equivalent required.

TRAINING AND EXPERIENCE: 

1 year charge entry experience preferred.  Working knowledge of CPT, HCPCS, ICD10, and medical terminology. Epic experience preferred.

Please complete your application using your full legal name and current home address.  Be sure to include employment history for the past seven (7) years, including your present employer.  Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable.  It is highly recommended that you create a profile at the conclusion of submitting your first application.  Thank you for your interest in St. Luke's

St. Luke's University Health Network is an Equal Opportunity Employer.