Russellton Medical Group is hiring a Charge Processing Specialist to join their team in Natrona Heights, PA. This is a Monday through Friday daylight position with the hours of 8am to 4:30pm. No evenings, weekends, and select holidays off. This position will be responsible for dropping charges for the office and hospital, work on denials and claim edits, and help with registration. 

If you want to join a team that is close knit and supportive, this is for you. Free parking is available at this location

Purpose:
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 of the authorization is attached to the charge document upon submission to the Charge processing Department.

Responsibilities:

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. Coordinate the exchange of information/documentation with other practice plans or ancillary departments. Document and resolve all problem charge vouchers on a daily basis. Assist in the processing of charges which includes Institutional accounts, charge over ride services and payment transfers for cosmetic services. Process charge documents into the Epic system and maintain minimum productivity levels. Perform limited ICD-9 and CPT-4 coding from charge slips, encounter forms, or source documentation. Ensure the charges for bilateral services are processed in accordance with payer specific guidelines. Review coding and charges for accuracy and completeness. 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. Assist in the processing of charge correction requests, document types of corrections performed in addition to verifying the validity of the requests received. Verify all charge batches entered are processed with the correct revenue location. Balance charges entered at the end of the day, each day.