Charge Capture Representative III

Sutter Health•Modesto, CA

1d•Onsite

About The Position

Responsible for ensuring maximized revenue by working and resolving missing/incorrect charges and credit balances. Identifies, quantifies and addresses missing/incorrect charges. Partners with assigned clinical departments to ensure complete, correct, and compliant charge capture. Works with management to identify problem areas, training needs and opportunities for improvement of systems and procedures pertaining to charge capture.

Requirements

HS Diploma: High School Diploma or General Education Diploma (GED)
2 years recent relevant experience.
Knowledge with payer plans including but not limited to Health Maintenance Organization (HMO), Government, Preferred Provider Organization (PPO), Worker's Compensation (WC).
Proficiency in Excel spreadsheets using pivot tables, formulas and graphics.
Verbal/written communication and listening skills.
Interpersonal skills necessary to represent organization in a professional and positive manner.
Ability to effectively organize and prioritize tasks in order to complete assignments and meet deadlines.
Able to establish and maintain effective working relationships with all levels of personnel in the organization.

Responsibilities

Ensuring maximized revenue by working and resolving missing/incorrect charges and credit balances.
Identifying, quantifying and addressing missing/incorrect charges.
Partnering with assigned clinical departments to ensure complete, correct, and compliant charge capture.
Working with management to identify problem areas, training needs and opportunities for improvement of systems and procedures pertaining to charge capture.