Charge Capture Representative

This is a fully remote position, open to applicants in Minnesota.

📋 Description

• Evaluate clinical documentation and precisely assess and input charges for Emergency, Outpatient, and Observation services.

• Utilize medical software to record all billable charges.

• Detect discrepancies in medical reports and collaborate with leadership and operations teams to enhance charge capture and rectify errors.

• Review, compute, and enter charges into the electronic medical record (EMR).

• Analyze financial reports for accuracy and necessary modifications.

• Execute and finalize charge entries.

• Monitor and audit patient charts.

• Ensure that charges adhere to federal regulations.

• Collaborate with coding, finance, providers, and site leadership on provider productivity and dummy code audits.

• Identify absent notes and charges, working with providers to complete them.

• Detect, assess, and amend charge capture mistakes, double charging, errors, and omissions.

• Reconcile inpatient and outpatient hospital professional fees to uncover any missing charges and/or notes.

• Manage 3050WQ, Charge Review, Claim Edit, Account, and Follow Up WQs.

• Confirm insurance eligibility and document details in Epic.

• Address patient/client issues, direct calls, adjust accounts, and update demographic and insurance information.

• Register patients as necessary for billing at service locations outside of Allina.

• Follow up on billing and quality-of-care concerns and properly refer complaints.

• Obtain referrals and prior authorizations for denied encounters.

• Resolve intricate accounts requiring expertise and critical thinking.

• Identify workflow challenges and collaborate with providers and site leadership on educational opportunities.

• Notify the manager about documentation gaps impacting revenue efficiency and accuracy.

• Carry out additional duties as assigned.

⛳️ Requirements

• Must be at least 18 years old with the education and/or experience necessary to fulfill required functional competencies.

• 2 to 5 years of experience in healthcare insurance, billing, and charging.

• High school diploma or GED is preferred.

• An Associate's or Vocational degree in business, healthcare, or a related field is preferred.

• 2 to 5 years of experience with medical terminology is preferred.

• Certified Coding Specialist from the American Health Information Management Association (AHIMA) is preferred upon hire.

• Sedentary physical demands; may involve lifting up to 10 lbs. occasionally and negligible weight frequently.

🏝️ Benefits

• Medical/Dental coverage.

• Paid Time Off/Time Away.

• Retirement Savings Plans.

• Life Insurance.

• Short-term and Long-term Disability.

• Voluntary Benefits (vision, legal, critical illness).

• Tuition Reimbursement or Continuing Medical Education as applicable.

• Student Loan Support Benefits to assist with navigating the Federal Public Service Loan Forgiveness Program.

• Allina Health is a 501(c)(3) eligible employer.

• Well-being dollars.

• Dedicated well-being navigators.

• Well-being programs, activities, articles, videos, personal coaching, and tools.

• Shift, weekend, and/or other differentials may be available to enhance pay rates for specific shifts or work.