Role Description
As a Charge Review Cash Rep, you will be a central figure responsible for the accurate and timely capture of all billable services and procedures, directly impacting our revenue cycle and ensuring appropriate reimbursement. You will play a vital role in optimizing financial performance and maintaining billing compliance.
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Review clinical documentation, physician orders, and service records to identify all billable services.
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Assign appropriate CPT, HCPCS, and ICD-10 codes, and ensure accurate charge entry.
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Collaborate with clinical departments, coders, and billing specialists to clarify documentation and resolve discrepancies.
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Educate on best practices, staying current with payer and regulatory changes.
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Review, correct, and process paper-based and electronically transmitted encounter data, charges, and account information.
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Post and reconcile insurance and patient payments, adjustments, write-offs, EFTs, EOBs, and ERAs.
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Research, analyze, and resolve complex billing, payment transfer, and account discrepancies.
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Maintain accurate account documentation, activity records, posting logs, and cash handling audits.
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Meet established productivity and quality standards through timely charge corrections and proactive identification of issues.
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Serve as a lead resource by assigning and reviewing work, training and mentoring staff, and supporting quality reviews.
Qualifications
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Strong medical terminology background.
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Robust coding knowledge (CPT, HCPCS, ICD-10).
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Exceptional attention to detail.
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Strong analytical and communication skills.
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Ability to thrive in a fast-paced environment dedicated to financial accuracy and compliance.
Requirements
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Two years of revenue cycle or related work experience.
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Post-high school education in a field (e.g. medical billing) may be substituted upon hire.
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Lead: One additional year of related work experience.