Charge Review Specialist
3 days ago
We are seeking a highly skilled Charge Review Specialist to join our team at UF Health. As a Charge Review Specialist, you will be responsible for performing timely reviews of charges in the charge review system, verifying completeness of charge information, and researching charges for appropriate codes and modifiers.
Key Responsibilities- Accurately perform actions on charges in the charge review system 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
- Identify clinic trends and provide essential reporting functions as required
- Perform special projects as assigned by the Team Lead or Manager
- Respond to and resolve charge issues with different levels of management within the Business Groups, Clinics, etc.
- Possesses critical thinking, prioritization, and organizational skills
- Attention to detail and quality of work
- Basic computer literacy and arithmetic skills
- Ability to organize and prioritize assignments to work independently as well as a collaborative team member
- Customer Service working with Internal & External Clients
- Strong analytical and problem-solving skills
- Ability to communicate effectively and courteously, both orally and in writing
- Handles confidential health information in compliance with HIPAA
- Strong telephone skills
- Ability to operate standard business equipment, e.g., copier and fax machine
- Working knowledge of HMOs, Medicare, Medicaid, PPO, and third-party payers
- Knowledge of CPT and ICD codes and medical terminology
- Strong PC skills required using Excel and Word
- Ability to work as a team is essential to the individual's success
- 2 years Computer experience in medical billing required
- 2 years Healthcare experience in medical billing preferred
- 2 years Medical Billing software required
- 2 years Experience with online payor tools preferred
- High School Diploma or GED equivalent required
- Associates preferred
UF Health is an Equal Opportunity Employer and Drug-Free Workplace
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