Job Description

Job Title: Charge Processing Specialist II
Job ID: 638295
Status: Casual
Regular/Temporary: Limited
Hours:
Shift: Day
Facility:
Department: ZCMS1 Shadyside FHC
Location: 5215 Centre Avenue, Pittsburgh PA 15232

Description

Job Summary:

UPMC Community Medicine is hiring a Charge Processing Specialist II to support the Shadyside Family Health Center during daylight hours one day per month. 

In this role, you will ensure Managed Care requirements are met by accessing the referral system and attaching the pre-loaded authorization to the charge being processed. Direct entry of the Managed Care referral into Cadence will be required if the authorization is attached to the charge document upon submission to the Charge Processing Department.

Responsibilities:
  • Assist in the processing of charge correction requests, document types of corrections performed in addition to verifying the validity of the requests received.
  • Assist in the processing of charges which includes Institutional accounts, charge over ride services and payment transfers for cosmetic services.
  • Balance charges entered at the end of the day, each day.
  • Coordinate the exchange of information/documentation with other practice plans or ancillary departments.
  • Document and resolve all problem charge vouchers on a daily basis.
  • Ensure physician charges are applied to the correct account by verifying information indicated on the charge document against the system information.
  • Ensure the appropriate modifier is attached at the charge entry level for Medicare non-covered and limited coverage service and for resident participation.
  • Ensure the charges for bilateral services are processed in accordance with payer specific guidelines.
  • Perform limited ICD-9 and CPT-4 coding from charge slips, encounter forms, or source documentation.
  • Process charge documents into the Epic system and maintain minimum productivity levels.
  • Review coding and charges for accuracy and completeness.
  • Verify all charge batches entered are processed with the correct revenue location.
  • Verify the appropriate Place of Service (POS) code is submitted in relation to the rendered procedure Type of Service (TOS) at the charge entry level based on the payer specific requirements.

Qualifications

  • High School diploma or equivalent required. 
  • Three years of experience in registration, scheduling, insurance verification, and charge and payment posting processes within a physician office practice preferred. 
  • Strong verbal, telephone, and written correspondence skills. 
  • Knowledgeable of medical terminology, cash collection and application, ICD-9/CPT-4 coding, and third party payer billing and reimbursement practices. 
  • Ability to effectively problem solves. 
  • Prior working experience on personal computers and various office equipment.

Licensure, Certifications, and Clearances:
  • Act 34 Criminal Clearance

UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities

Salary Range: $14.11 to $22.19

Union Position: No

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