What are the responsibilities and job description for the Charge Review Specialist position at Cone Health?
Overview
Talent pool - Administrative & ClericalEnsures all appropriate billing charges are being captured, documented, charged and reimbursed for the assigned department in accordance with policies and procedures, and applicable regulatory standards and requirements also focuses on work unit and/or service-line reconciliation processes. The schedule for this position is Monday - Friday, 8 hour shifts.
Responsibilities
- Ensures accurate and timely charge-capture methodologies are in place; reconciles charges against source documents to ensure that charges have been captured completely and accurately; monitors compliance with internal standards and procedures, and reports non-compliance issues to proper authority.
- Identifies errors and/or omissions, working with appropriate staff/team members to ensure that revisions/corrections forwarded and incorporated in processing systems in timely manner.
- Provides training to staff engaged in billing data entry and related charge capture/ reconciliation activities to ensure procedures are understood and that charges booked are timely, appropriate, accurate, complete and properly documented.
- Coordination with CDM/Lawson team/system, edits/holds, simple report generation.
- Audits Request to Purchase for vendor managed inventory and Initiates follow up with vendors to ensure pricing and component information is accurate.
- Forward's completed paperwork to the Purchasing Department and assist Account Payable in resolving invoice issues.
- Checking patients into department and collecting co-pay.
Qualifications
EDUCATION:Required: High School Diploma or equivalent.
EXPERIENCE:Required: 1 year of recent directly related work experience in a healthcare environment.Preferred: 2 years of recent directly related work experience in a healthcare environment and significant exposure to healthcare revenue cycle and 1 year Epic experience.
LICENSURE/CERTIFICATION/REGISTRY/LISTING:None
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