The Charge Correction Representative is primarily responsible for making invoice corrections to facilitate billing according to insurance carrier requirements and coding policy.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Enter and/or update patient demographics and insurance information in patient accounts. Make modifications or corrections, supported by established policy, on claim edits. Identify patient insurance and assign, in priority order, the appropriate Financial Status Classification (FSC). Correct
ICD-9, CPT-4
codes and provider codes as designated by the coder. Balance batches to ensure the actual total and the batch control totals match, seeking guidance from the supervisor or senior in the event a batch does not balance. Correct audits as required Review weekly statements and claim edit reports, identify and perform corrections as necessary. Maintain established production and quality assurance standards. Performs other duties and assignments as requested. Requirements
QUALIFICATIONS / EXPERIENCE
High school diploma or equivalent required. One-year of previous medical billing and/or medical terminology preferred Demonstrated understanding of contractual billing procedures preferred Ten (10)-key experience a plus