AR Charge Integrity Coordinator - UofL Health

Overview

WE ARE HIRING!Location: 250 E Liberty Street Louisville, KY 40202 

About UofL Health UofL Health is a fully integrated regional academic health system with nine hospitals, four medical centers, Brown Cancer Center, Eye Institute, nearly 200 physician practice locations, and more than 1,000 providers in Louisville and the surrounding counties, including southern Indiana. Additional access to UofL Health is provided through a partnership with Carroll County Memorial Hospital.  Affiliated with the University of Louisville School of Medicine, UofL Health is committed to providing patients with access to the most advanced care available. This includes clinical trials, collaboration on research and the development of new technologies to both save and improve lives. With more than 13,000 team members – physicians, surgeons, nurses, pharmacists and other highly-skilled health care professionals, UofL Health is focused on one mission: to transform the health of communities we serve through compassionate, innovative, patient-centered care. For more information on UofL Health, go to www.uoflhealth.org.

Job Summary: 

Overview-The Charge Integrity Coordinator ensures accuracy of charge input into the system through daily review of various assigned charge processes and reports, as well as system generated pre-bill edits, in order to monitor/prevent lost revenue and prevent claim denials. Manually input failed/missed/required charges directly into patient accounting system. Monitor and work assigned pre-bill edits to completion to ensure timely billing of insurance claims. Provide feedback to leadership regarding charge issues.

Responsibilities

• Review patient accounting system pre-bill edit queues to identify and rectify charge-related discrepancies, to include missing charges, date of service issues, and patient status discrepancies.

• Work with billing and follow up staff to remediate rejected or denied claims related to charge or overlapping dates of service errors.

• Monitor daily charges/revenue reports for unusual quantities or dollar amounts and follow up with departments to remediate issues.

• Monitor claim hold/application interface queues for charge entry issues and work with other departments for resolution to prevent future claim holds and allow for timely billing.

• Assist leadership with action plans related to charge capture and late charge remediation.• Maintain compliance with all company policies, procedures and standards of conduct. • Performs other duties as assigned.

Qualifications

Education:• High School Diploma or GEDExperience: • One year of work experience in a health care or managed care environment with an emphasis on coding, auditing, or claims related system configuration, preferredLicensure:• None Required/PreferredCertification:• None Required/Preferred