Charge Correction Specialist/Floater - Healthcare Partners Investments

Location: Oklahoma City, Oklahoma HPI Corporate Office (12554) Category: Business Office Job ID: 89889-147 Status: Full-Time/Regular Full-Time Charge Correction Specialist / Floater – 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. Essential Functions: (3‑5 core functions – 75% of time spent) Must possess effective and efficient communication, computer, phone, and Microsoft Office skills. Must be able to interpret various charge correction requests, determine their validity, and perform necessary actions. Responsible for completing any and all required actions to correct charge/claim issues so that claims can be re‑filed and processed correctly by the payors. Must be able to recognize and address claim issues encountered through AR billing system and billing scrubber system. Must maintain a positive working relationship with any and all entities they may come in contact with on a daily basis. This includes, but is not limited to, clients, physician office staff, physicians, payors, co‑workers, management, and customers. Must be able to handle stressful situations, multi‑task a variety of responsibilities, and work under strict timelines. Employee is expected to be proficient in all systems, programs and processes associated with their current position within the CBO. Responsible for the upkeep of billing master files in current billing systems. These duties include, but are not limited to, 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. Expected to stay up to date on claim/billing and insurance regulations to ensure our claims are filed correctly as to not delay or reduce reimbursement. Effectively work and cooperate with supervisors, co‑workers and clients. Follow the directions of supervisors. Re‑frain from causing or contributing to disruption in the workplace. Regular and reliable attendance. Perform other duties as assigned. Functional Accountabilities: Identify all charge entry errors through electronic claims submission rejections, return reports and denials. Research and identify the charge entry errors and make all necessary corrections to resolve the issue. Receive charge entry correction requests from client offices and perform necessary research to verify the requested correction as valid. After verification, make all necessary corrections to claim. Respond to client requests within one business day to advise that correction is completed or communicate expected turnaround time if completion will take longer. Re‑file claims after corrections have been completed. Work all claim rejections received by resolving all issues and re‑filing corrected claim. Complete requests for master file revisions received from clients, physician/staff, team members and management. Review master files to make sure their setup is complete and all the information is correct as entered. Maintain NDC numbers in current billing system and add new ones as they are received. Maintain TSPID numbers in current billing system and add new ones as they are received. Track errors by doctor/client, error type and correction made so that this information can be reported to management for training of appropriate staff. Establish and maintain a professional working relationship with all clinics/staff in all manners of communication. Act as back‑up biller and perform all billing functions as needed. Assist manager and team lead with special projects and/or reports created for clients/staff. Perform back‑up support for denial management team as instructed by management. Stay up to date on billing/claim regulations to ensure claims filed by the CBO are correct and meet all established criteria/guidelines. Obtain required approval for corrections made if needed per CBO policy. Make sure all required logs/reports are completed as assigned. Work assigned accounts to completion daily. Be familiar with each client and any special handling required for their particular billing. Report all trends identified through researching errors so that they may be addressed and corrected to reduce delays in claim processing. Reports to: Coding & Claims Management Manager – Professional team. Supervises: None. Qualifications High School Diploma or equivalent; 2 years college preferred. Minimum 3 years experience in medical business office operations. EPIC and Allscripts billing system experience preferred. Required Physical Demands Strength (Lift, Carry, Push, Pull): Sedentary (exerting up to 10 pounds of force occasionally). Standing/Walking: Occasionally; activity exists up to one third of the time. Keyboard/Dexterity: Constantly; activity exists two thirds or more of the time. Talking: Must be able to effectively communicate verbally. Seeing: Yes. Hearing: Yes. Color Acuity: No. Level: Low __x__ Moderate ____ High ____ (Exposure to hazardous risks, work environment conditions) What We Offer Medical, dental, vision, and prescription coverage Life and AD&D coverage Availability of short‑ and long‑term disability Flexible financial benefits including FSAs, HSAs, and Daycare FSA. 401(k) and access to retirement planning Employee Assistance Program (EAP) Paid holidays and vacation #J-18808-Ljbffr Community Hospital OKC