Revenue Integrity Charge Capture Specialist

Overview

The Revenue Integrity Charge Capture Specialist is part of the Revenue Integrity team in the Financial Operations department and supports timely resolution of unposted charges, ensuring accurate charge routing across the health system, through any manual entry needs or via owned WQs for charge router, charge review, charge DNB, or charge claim edit. Responds to account queries regarding charge issues. Participates in completion of any needed charge update projects and supports leadership in tracking edit volumes by type and department. Researches and recommends resolutions to system errors.

Qualifications

Certifications : , Education : Experience In Lieu of Education; Associate's Degree, Work Experience :

Responsibilities

Resolves edits in assigned Epic Work Queues within designated timeframes.

Coordinates with clinical and financial departments to ensure accurate and timely resolution of charge errors.

Responds to account queries regarding charge related questions or issues. May handle complex account queries regarding charge issues across Epic Resolute PB and HB.

Identifies charge error trends and works collaboratively with the revenue integrity staff and leadership for review of needed system update resolution.

Makes observations and recommendations to prevent future revenue loss.

Ability to identify correct service codes, supply codes, and pharmacy charges based on documentation within the patient record.

Understands insurance terms and denial reasons to be able to correctly identify errors on charge accounts.

Presents charging issues to analyst team and leadership weekly.

Completes assigned charging projects within designated timeframes.

Performs other duties and helps with projects as assigned.

Completes and / or attends training and education sessions as assigned by leadership.

About Us

Find it here.

Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance - and opportunities meet flexibility. Find it all at Carle Health.

Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet designations, the nation's highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the world's first engineering-based medical school, and Health Alliance. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. | For more information : human.resources@carle.com.

Compensation and Benefits

The compensation range for this position is $16.73per hour - $27.1per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate's experience, qualifications, location, training, licenses, shifts worked and compensation model.

Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org / benefits.