Charge Review Representative

Brigham & Women\'s Physicians Organization(BWPO) – Norwell, MA

Brigham and Women's Harbor Medical Associates is part of the Brigham and Women's Physicians Organization and is a multispecialty, primary care practice with more than 65 physicians in our several offices on the South Shore. You will find our practice culture stimulating and rewarding. We value all our employees and offer comprehensive benefits. We are affiliated with Brigham and Women's Hospital, Dana-Farber/Brigham and Women's Cancer Center and South Shore Hospital.

  • Ensure the timely and accurate entry of all charges to Epic A/R from various sources, either manual and electronic
  • Ensure process for resolving edits related to referrals, validation of codes, CPT and ICD 10 in Epic WQ’s is completed within acceptable timeframes
  • Work all edits related to registration, CPT, ICD 10 CM, POS, and modifiers
  • Review procedures and diagnoses using CPT and ICD10 codes
  • Office functions related to processing and handling of incoming mail and interoffice mail
  • Reporting to the Director of Revenue Cycle and Billing the duties of the Charge Review Representative involve the daily review of charges to ensure charges are processed correctly within a timely process. Charges reviewed are for various clinical source for multi-specialty services which include manual entry, resolution of edits and open encounters. The Charge Review Representative will use application including Optum and Optime for charge processing. Qualifications
  • HS diploma or equivalent
  • 1-2 years of experience preferred; direct experience in the healthcare field and billing systems preferred but not required
  • Knowledge of third party billing regulations preferred
  • The position requires a highly organized, self-motivated individual who can work independently and has excellent time-management and problem-solving skills
  • Ability to utilize various information systems to maximize efficiency. This includes using Epic and other data base systems to process accurate medical billing and obtain accurate demographic information on patients
  • Attention to detail
  • Excellent computer and technical skills
  • Ability to carry out responsibilities accurately and independently
  • Maintenance of confidentiality is essential for this position
  • Microsoft Office experience
  • EPIC experience helpful
  • Medical Billing Experience – CPT and ICD10 helpful
  • Works well in a team environment
  • EEO Statement Brigham and Women’s Physicians Organization is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, ancestry, age, veteran status, disability unrelated to job requirements, genetic information, military service, or other protected status. Primary Location: MA-Norwell-BPO Norwell Work Locations: BPO Norwell 77 Accord Park Norwell 02061 Job: Billing Organization: Brigham & Women's Physicians Organization(BWPO) Schedule: Full-time Standard Hours: 40 Shift: Day Job Posted Shift Description: Monday through Friday 8:30am-5pm Employee Status: Regular Recruiting Department: BPO Harbor Medical Associates Job Posting: Feb 8, 2019

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