Revenue Integrity Charge Capture Specialist jobs in United States
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Carle Health ยท 1 day ago

Revenue Integrity Charge Capture Specialist

Carle Health is a healthcare system based in Urbana, IL, and they are seeking a Revenue Integrity Charge Capture Specialist to support timely resolution of unposted charges and ensure accurate charge routing across the health system. The role involves coordinating with clinical and financial departments, responding to account queries, and participating in charge update projects.

Hospital & Health Care

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

Qualification

Epic Work QueuesCharge error resolutionService code identificationInsurance terms understandingSoft skills

Required

Associate's Degree

Benefits

Carle Health offers a comprehensive benefits package for team members and providers.

Company

Carle Health

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Carle Health is a vertically integrated system with a bold but simple mission: to be the trusted partner in all healthcare decisions for everyone who depends on it.

Funding

Current Stage
Late Stage

Leadership Team

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Matthew Kolb
Executive Vice President, Chief Operating Officer
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Dawn Walden
Senior Vice President, Chief Revenue Cycle Officer
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Company data provided by crunchbase