Charge Correction Specialist/Floater FT

United Surgical Partners International Inc (USPI)•Oklahoma City, OK

7d•Onsite

About The Position

Full Time Charge Correction Specialist/Floater needed for North OKC medical billing office. The Charge Correction Specialist/Floater is responsible for reviewing, logging and correcting all charge errors and claim submission errors related to professional accounts. They are also responsible for the upkeep of the system master files related to billing including requests to add new physicians and insurance companies. As needed they will act as backup for the professional biller and appeals/denial team.

Requirements

Effective and efficient communication, computer, phone and Microsoft Office skills.
High School Diploma or equivalent.
Minimum 3 years experience in medical business office operations.

Nice To Haves

2 years college preferred
EPIC and Allscripts billing system experience preferred

Responsibilities

Reviewing, logging and correcting all charge errors and claim submission errors related to professional accounts.
Upkeep of the system master files related to billing including requests to add new physicians and insurance companies.
Acting as backup for the professional biller and appeals/denial team as needed.
Interpreting various charge correction requests, determining their validity and performing necessary actions.
Completing any and all required actions to correct charge/claim issues so that claims can be re-filed and processed correctly by the payors.
Recognizing and addressing claim issues encountered through AR billing system and billing scrubber system.
Maintaining a positive working relationship with any and all entities they may come in contact with on a daily basis.
Handling stressful situations, multi-tasking a variety of responsibilities and working under strict timelines.
Being proficient in all systems, programs and processes associated with their current position within the CBO.
Upkeep of billing master files in current billing systems, including adding new information per requests received, updating new addresses and other information as it changes, maintenance of NDC numbers, maintenance of TSPID numbers and the addition of new charge/procedure/CPT codes.
Staying up to date on claim/billing and insurance regulations to ensure claims are filed correctly as to not delay or reduce reimbursement.
Effectively working and cooperating with supervisors, co-workers and clients.
Following the directions of supervisors.
Refraining from causing or contributing to disruption in the workplace.
Regular and reliable attendance.
Performing other duties as assigned.
Identifying all charge entry errors through electronic claims submission rejections, return reports and denials.
Researching and identifying charge entry errors and making all necessary corrections to resolve the issue.
Receiving charge entry correction requests from client offices and performing necessary research to verify the requested correction as valid, then making all necessary corrections to claim.
Responding to client requests within 1 business day to advise correction completed or communicating expected turn around time if completion will take longer.
Re-filing claims after corrections have been completed.
Working all claim rejections received by resolving all issues and re-filing corrected claim.
Completing requests for master file revisions received from clients, physician/staff, team members and management.
Reviewing master files to make sure their set up is complete and all the information is correct as entered.
Maintaining NDC numbers in current billing system and adding new ones as they are received.
Maintaining TSPID numbers in current billing system and adding new ones as they are received.
Tracking errors by doctor/client, error type and correction made so that this information can be reported to management for training of appropriate staff.
Establishing and maintaining a professional working relationship with all clinics/staff in all manners of communication.
Acting as back-up biller and performing all billing functions as needed.
Assisting manager and team lead with special projects and/or reports created for clients/staff.
Performing back up support for denial management team as instructed by management.
Ensuring claims filed by the CBO are correct and meet all established criteria/guidelines.
Obtaining required approval for corrections made if needed per CBO policy.
Making sure all required logs/reports are completed as assigned.
Working assigned accounts to completion daily.
Reporting all trends identified through researching errors so that they may be addressed and corrected to reduce delays in claim processing.