Charge Coordinator
1 week ago
Overview
Job Summary: We are seeking a highly organized and detail-oriented Charge/Follow-up Coordinator to join our team at UF Health. As a key member of our revenue cycle team, you will be responsible for ensuring timely and accurate reimbursement for professional services provided to patients.
Key Responsibilities:
- Determine appropriate action and complete necessary steps to obtain reimbursement for all types of professional services by physicians and non-physician providers.
- Complete correspondence inquiries from payors, patients, and/or clinics to provide the needed information for claims resolution.
- Respond to and send emails to all levels of management in the Business Groups, Cash Posting Department, Refunds Department, Managed Care, Clinics, or CDQ to resolve coding and billing issues.
- Make outbound calls, written or electronic communications, web portals, and/or websites to insurance companies for status and resolution of outstanding claims.
- Review and interpret electronic remits and EOBs to work insurance denials and determine appropriate insurance adjustments and obtain adjustment approvals as outlined in the company policy.
- Verify and/or assign key data elements for charge entry, such as location codes, provider numbers, authorization numbers, referring physician, and etc.
- Re-file insurance claims when necessary to the appropriate carrier based on each payor's specific appeals process with the knowledge of timelines.
- Research, respond, and take necessary action to resolve inquiries from PSRs, Charge Review and Refund Department requests.
- Follow-up via professional emails to ensure timely resolution of issues.
- Must be comfortable speaking with payers regarding procedure and diagnosis relationships, billing rules, payment variances, and have the ability to assertively set the expectation for review or change.
- Review and facilitate the correction of insurance denials, charge posting, and payment posting errors.
Requirements:
- High School Diploma or GED equivalent required.
- 2 years of healthcare experience in medical billing preferred.
- EPIC system experience preferred.
- Experience with online payor tools preferred.
- Knowledge of procedure and diagnosis coding and medical terminology.
- Strong PC skills required using Excel and Word.
What We Offer:
- A competitive salary and benefits package.
- A dynamic and supportive work environment.
- Opportunities for professional growth and development.
How to Apply:
Please submit your application, including your resume and cover letter, to [insert contact information].
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