Description A growing company is looking for motivated candidates with attention to detail and strong technical skills, for their Revenue Integrity Charge Capture Analyst. This terrific long-term contract / contract Medical Billing Specialist opportunity is based in the East Bay, California. success driven about planning a career in healthcare? Contact us today for more information about this role. Responsibilities Focus on data quality and uniformity via close collaboration with other factions Notify insurance companies and patients of account charges Supervise aspects of particular patient accounts, including billing and reimbursement Daily review of all accounts work queue. Reviews the documentation in the medical record for appropriate documentation to support charges and aligned with CPT correct coding initiative rules. Ensures the appropriate bundling or unbundling of charges, and applicable modifiers applied so that all charges that are submitted result in optimal reimbursement while following applicable billing, coding and reimbursement regulations within respective areas and informs charge master analysts, PFS teams, etc. of any errors identified needing corrections. Maintain working knowledge of CPT and HCPCS coding. Makes necessary charge corrections according to policies and payer rules and maintains number of outstanding accounts in WQ to within 3 days of service. Partners with Sr. RI Analysts in clinical revenue manager engagements when charge capture opportunities are identified. Performs manual charge entry when possible missing charges identified. Performs other duties as assigned by management. Reviews and generates accurate and timely charges for services provided in the outpatient setting including the emergency departments, observation, infusion centers and any other areas that may be assigned. Runs assigned reconciliation reports (e.g. Revenue Reconciliation Monitoring Reports, Encounter Charge Reconciliation Reports, etc.) as assigned, that will be used to identify charge related opportunities. Works daily work queues to resolve bill holds for charge related issues assigned to the revenue integrity Charge Capture unit in the charge review Revenue Guardian and, DNB work queues. Works with the Senior Revenue Integrity Analysts to document and report findings and work with education team to develop recommendations and corrective actions. If you are interested in this role apply today and call us at (510)470-7450 Requirements - Experience with Microsoft Office required
A real talent for the explanation of benefits (EOBs)
General familiarity with finance
Solid understanding of documentation
Comprehension of implementation
Medical Coverage experience highly preferred
Foundational knowledge in SANs (Storage Area Networks)
Monitoring Tool experience preferred
Earlier work involving billing
Coding experience required
Hands-on experience with Practices
Adeptness in Review
Previous experience working with Regulation
Practical knowledge of Workstation Support
Partners experience desired
Background working with reconciliations
Facility experience highly valued
Command of training
Experience with Planning Processes
Demonstrated knowledge of About Time
Good understanding of Revenue Accounting
Submission experience highly desired
Compliance experience
Deep understanding of medical records
Experience with Liaison
Deep understanding of Policy
Prior experience with Clinical Trial Operations
Excellent written, verbal and social communication skills
High school diploma or equivalent required
Outstanding data entry skills
Prefer 2 years experience in medical billing or within the revenue cycle
Previous experience with a practice management system preferred
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All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.
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