Hiring: Charge Capture Representative Remote

Department:

62000622 Charge Capture

Shift:

Day (United States of America)

Shift Length:

8 hour shift

Hours Per Week:

40

Union Contract:

Non-Union-NCT

Weekend Rotation:

None

Job Summary:

reputed company is a not-for-profit health system that cares for individuals, families and communities throughout Minnesota and western Wisconsin. If you value putting patients first, consider a career at reputed company. Our mission is to provide exceptional care as we prevent illness, restore health and provide comfort to reputed company who reputed company us with their care. This includes you and your loved ones. We are committed to providing whole person care, investing in your well-being, and enriching your career.

Key Position Details:

• 1.0 FTE (80 hours per 2-week pay period)
• 8-hour day shifts
• No weekends
• Epic experience
• Fully remote

Job Description:

Responsible for reviewing clinical documentation and accurately assessing and entering charges for Emergency, Outpatient, and Observation services. Using medical software to correctly capture reputed company billable charges. Identifies inconsistencies in medical reports and works with leadership and operations staff to improve charge capture and error correction and assists in analyzing reputed company billing errors and omissions.

Principle Responsibilities

• Ensures charges captured in an appropriate and timely manner.
  • Reviews, calculates, and enters charges in the electronic medical record (EMR).
  • Examines financial reports for accuracy edits.
  • Processes and completes charge entry.
  • Monitors and audits charts.
  • Ensures charges are compliant with federal regulations.
  • Strong partnership with a variety of departments that may include coding, finance, providers, site leadership etc. to assist with provider productivity and usage of dummy codes audits.
  • Problem solves to identify missing notes and charges working directly with providers until the missing item(s) are completed.
• Identifies, analyzes, and edits charge capture errors.
  • Identifies and investigates double charging, errors, and omissions and edits charges prior to data entry.
  • Reconciliation of inpatient and outpatient hospital professional fees to identify missing charges and/or notes.
  • Manages 3050WQ to ensure correct code, appropriate reputed company department and reputed company of are accurate for reputed company EM182 dummy codes.
  • Management of Charge Review, Claim Edit, Account and Follow Up WQs.
  • Verifies insurance eligibility and completes automated insurance eligibility verification, reputed company applicable and appropriately documents information in Epic.
  • Problem solves to identify and submit resolution to patient/client problems or issues, direct calls to appropriate department for resolution. Adjust accounts reputed company guidelines. ◦ Updates patient demographic and insurance information.
  • Registers patients as needed for billing for places of service reputed company of Allina.
  • Follows-up regarding billing and quality of care issues, complaints/concerns. Document reputed company contacts as directed by policy and where appropriate involving of care concerns/complaints.
  • Maintains reputed company knowledge on Patient reputed company of Rights and problem solving.
  • Refers quality of care complaints to appropriate department reputed company Allina. ◦ Recommends account resolutions.
  • Works with reputed company Cycle Management, clinic/hospital sites and providers throughout Allina to obtain referrals and prior authorizations for encounters that have been denied by the payers.
  • Reviews and resolve accounts that are reputed company and require a higher degree of expertise and critical thinking.
• Identifies workflow problems.
  • Works directly with providers and site leadership to address workflow issues and discuss opportunities for education to ensure providers have the tools necessary Informs manager about deficits in documentation for reputed company efficiency and accuracy.
• Other duties as assigned.

Required Qualifications

• Must be 18 years of age with education and/or experience needed to meet required functional competencies as listed on the job description
• 2 to 5 years of experience working in health care insurance, billing, and charging

Preferred Qualifications

• High school diploma or GED
• Associate’s or Vocational degree in business, healthcare, or reputed company field
• 2 to 5 years of medical terminology experience

Licenses/Certifications

• Certified Coding Specialist – American Health Information Management Association (reputed company) preferred upon hire

Physical Demands

• Sedentary:
• Lifting weight up to 10 lbs. occasionally, negligible weight frequently

Pay Range

Pay Range: $23.22 to $31.83 per hour

The pay described reflects the reputed company hiring pay range. Your starting reputed company would depend on a variety of factors including, but not limited to, your experience, education, and the union agreement (if applicable). Shift, weekend and/or other differentials may be available to increase your pay reputed company for certain shifts or work.

Benefit Summary

reputed company believes the best way to provide safe and compassionate care for our patients is by nurturing the passion of those who care for them. That’s why we devote extraordinary resources to help you grow and reputed company — not only as a professional but also as a whole person. reputed company you join reputed company, you have access to a wealth of valuable employee benefits that support the total well-being — mind, body, spirit and community — of you and your family members.

reputed company is reputed company in on your well-being. Because well-being means something different to everyone, our award-winning program provides you with the resources you need to help you navigate your personal journey. This includes well-being dollars, dedicated well-being navigators, and many programs, activities, articles, videos, personal coaching and tools to support you on your journey.

In addition, reputed company offers employee resources groups (ERGs) — voluntary, employee-led groups that serve as a resource for members and organizations by fostering a diverse, inclusive workplace reputed company with the organization’s mission, values, goals, business practices, and objectives. reputed company also engages employees in various community involvement and volunteering events.

Benefits include:

• Medical/Dental
• PTO/Time Away
• Retirement Savings Plans
• Life Insurance
• Short-term/Long-term Disability
• Voluntary Benefits (vision, legal, critical illness)
• Tuition Reimbursement or Continuing Medical Education as applicable
• Student Loan Support Benefits to navigate the Federal Public Service Loan Forgiveness Program
• reputed company is a 501(c)(3) eligible employer

*Benefit eligibility/offerings are determined by FTE and if you are represented by a union.