HM Charge Corrections Specialist (Hybrid)
Description
At SCP Health, what you do matters.
As part of the SCP Health team, you have an opportunity to make a difference. At our core, we work to bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients, 7500 providers, 30 states, and 400 healthcare facilities, SCP Health is a leader in clinical practice management spanning the entire continuum of care, including emergency medicine, hospital medicine, wellness, telemedicine, intensive care, and ambulatory care.
As part of the SCP Health team, you have an opportunity to make a difference. At our core, we work to bring hospitals and healers together in the pursuit of clinical effectiveness. With a portfolio of over 8 million patients, 7500 providers, 30 states, and 400 healthcare facilities, SCP Health is a leader in clinical practice management spanning the entire continuum of care, including emergency medicine, hospital medicine, wellness, telemedicine, intensive care, and ambulatory care.
Why you will love working here:
- Strong track record of providing excellent work/life balance.
- Comprehensive benefits package and competitive compensation
- Commitment to fostering an inclusive culture of belonging and empowerment through our core values - collaboration, courage, agility, and respect.
What you’ll be doing:
The Medical Charge Correction Specialist is responsible for meticulously analyzing Charge Correction Requests, identifying errors, and implementing corrections in both the Charting System (IM Ingenious) and Billing database (Athena IDX). This role requires diligence, proficiency in computer skills, and the ability to maintain patient confidentiality. The specialist collaborates with the team to ensure accurate payment posting and possesses EOB interpretation skills. A background in medical billing, users’ knowledge of Athina IDX, and the ability to work independently in a challenging environment are essential for success in this role.
- Review Charge Correction Requests and validate.
- Analyze incoming requests for charge corrections in the accounts receivable inventory.
- Execute the re-billing and resubmission of corrected claims to ensure accuracy.
- Manage payment posting requests related to charge corrections to maintain balanced invoices.
- Communicate effectively with various teams to streamline correction processes.
- Ensure that all charge corrections comply with regulatory guidelines and internal policies.
- Document correction actions taken and archived relevant information for auditing purposes.
- Identify opportunities for process improvement and contribute to refining charge correction workflows.
- Collaborate with team members for training initiatives and share insights with colleagues.
- Identify errors and track opportunities for improvement/training.
- Process Correction in Charting System – IM Ingenious (IM Bills)
- Recall invoice to Live Status
- Process Correction in Billing database – Centricity
- Create Charge Correction Batch
- Conduct correction task in the RCM system to ensure proper resolution is the charge correction errors.
- Reapply adjustment and payments as appropriate.
Who/What we are looking for:
- 3+ years of payment posting or billing experience.
- 1+ years of Centricity and Anthena IDX experience.
- Advanced knowledge of professional medical claims billing.
- Coding and claims auditing experience.
- Medical billing background is required due to the complexity of the charge correction process.
- Knowledge of GE Flow Cast Centricity Business is preferred, but not mandatory.
- Medical account reconciliation
SCP Health and its affiliated companies (collectively, “SCP Health”) require applicants for specific positions, such as those onsite at a client company/healthcare facility or affiliate to be vaccinated against COVID-19 as a condition of employment, except where prohibited by state or local law. To demonstrate compliance with SCP Health’s vaccination policy, proof of COVID-19 vaccination status will be requested upon a conditional offer of employment for onsite positions at a client company/healthcare facility. SCP health will consider religious and/or medical/disability accommodation and other legally required exemption request as required by applicable law.
To learn more about SCP Health, please visit:
www.scphealth.com
www.scphealth.com
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SCP Health is an Equal Opportunity Employer.
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