Charge Capture Specialist jobs in Reno, NV

Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics which align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 11 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve.

 POSITION OVERVIEW

The Charge Entry Specialist is responsible for entering patient demographics, insurance information and professional charges into the health information system for services rendered by IPM and BH providers.  Ensures that all information entered into the health information system is precise and accurate.  Effectively reconciles charges and payments.  Resolves rejections and denials that relate to demographic registration, insurance registration, authorizations/referrals, and charge capture.

DUTIES AND RESPONSIBILITIES

• Resolves registration, insurance eligibility, and referral/authorization related rejections and denials in a timely manner. Places phone calls to payers when necessary to understand the reason for rejections/denials and the most effective means of resolution
• Retrieves demographic information, insurance information, and referrals/authorizations from available sources such as hospital factsheet, acute/hospital health information system, registration forms, payer portals or any other available means. Enters this information accurately into the health information system
• Enters charges for professional services rendered in IPM and BH practices, clinics, and hospitals. This includes rendering/supervising provider, CPT, ICD.10, modifiers, units of service, and time of service payments.  Reviews applicable authorizations/referrals to ensure that they are valid for the service being entered
• Electronically verifies insurance eligibility and makes updates accordingly. Ensures that eligibility result is positive prior to entering charges. Ensures that any updates provided in the insurance eligibility response are accurately updated in the health information system
• Adheres to reconciliation workflows and procedures to mitigate missed charges leading to loss of revenue
• Keeps abreast of payer policies and nuances pertaining to charge capture that impact the payment of claims. Know which payers requires referrals/authorizations for services. Considers payer requirements when entering charges to optimize clean claim rates
• Meets department objective for productivity
• Meets department objective for quality. When errors are identified during quality reviews, makes necessary corrections in the health information system in a timely manner.

 If you would like to learn more about the opportunity please email leah.webb@uhsinc.com

Education:  High School Graduate/GED required.  Technical School/2 Years College/Associates Degree preferred.

 One year of experience required either working in data entry or a healthcare environment.

Knowledge: Healthcare (professional) experience in an office or billing capacity, knowledge of CPT/ICD-10 and insurances, claim submission requirements preferred but not necessary. 

Skills: Excellent organization skills and attention to detail.  Ability to handle data entry accurately in a high-paced environment.  Ability to reconcile data and identify discrepancies. Demonstrated competency in basic computer skills.

As an IPM employee you will be part of a first-class organization offering:

• Required to read, write and speak Spanish
• A Challenging and rewarding work environment
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match
• Tuition Reimbursement

and much more!!

Independence Shared Services is not accepting unsolicited assistance from search firms for this employment opportunity.  Please, no phone calls or emails.  All resumes submitted by search firms to any employee via email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of Independence Shared Services.  No fee will be paid in the event the candidate is hired as a result of the referral or through other means.

 About Universal Health Services

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $13.4 billion in 2022. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 94,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.

www.uhs.cim

EEO Statement

 All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.