Charge Reconciliation Specialist

Charge Reconciliation Specialist

This is a remote position.

Overview:

The Charge Entry Reconciliation Specialist provides proofing, reconciliation, and billing support to the clinical and corporate office staff. In this role, you will support accurate dialysis claim processing, billing corrections, and coordination with clinical staff, ensuring services are properly captured and compliant with federal, state, and local regulations. The Charge Entry Reconciliation Specialist actively applies a solid foundation and knowledge of charge entry while exercising appropriate independent thought and decision-making skills. The Charge Entry Reconciliation Specialist must have the ability to multi-task and work in a fast-paced environment, as well as handle a high volume of communications via phone, email, and face to face.

Essential Functions:

• Dialysis Claim Corrections: Process, add, change, or remove dialysis treatment claims as needed to ensure accurate billing.
• Charge Proofing & Reconciliation: Conduct daily, weekly, and monthly billing audits to validate treatments, medications, labs, and other services.
• Collaboration with Clinical Teams: Communicate with clinic staff to resolve billing discrepancies and confirm services, supporting a seamless billing workflow.
• Claim Correction & Regeneration: Manage claim corrections by processing deletions and regenerating claims to ensure accurate reimbursement.
• Audit & Documentation Support: Assist with audit documentation for both internal and external purposes, ensuring compliance and transparency.
• Data Entry & Reporting: Run and review reports through EMR and QMS billing systems, troubleshooting, and correcting import errors to maintain clean billing records.
• Preparation for Split Billing: Work with clinics on weekly split billing processes and month-end closing through thorough reconciliation in QMS and EMR systems.

Education and Experience:

• Education: Associate's degree or equivalent in a related field is required. Bachelor's degree preferred.
• Experience: 1-2 years in a medical billing, charge entry, or reconciliation role is required, with experience in dialysis billing highly preferred.
• Technical Skills: Proficiency in MS Office, particularly Excel for data analysis, and experience with medical billing software such as EMR and QMS.
• Medical Knowledge: Familiarity with medical terminology and HIPAA compliance standards.
• Attention to Detail: Strong ability to review and interpret treatment sheets and billing data with exceptional accuracy.
• Interpersonal Skills: Excellent communication skills for liaising with clinical staff and effectively handling inquiries.

Why choose Innovative Renal Care?

Innovative Renal Care (IRC) provides high-quality care to patients suffering from End Stage Renal Disease (ESRD) and other kidney conditions. Together, we are one of the largest dialysis service providers in the United States. We partner with local physicians, enabling them to provide exceptional dialysis care to patients.

Our team lives by our values of Integrity, Innovation, Compassion, Accountability, Results Driven and Everyone Counts!

• Innovation & Integrity - Deliver on our promises with dedication and clarity. Engage and empower others by sharing ideas and successes.
• Compassion - Treat patients and their families with the utmost respect and empathy.
• Accountability - Take ownership when resolving issues and solving problems, trusting others to support us.
• Results Driven - Keep raising the bar for our own performance, helping, and encouraging our colleagues to do the same.
• Everyone Counts - Respect people of all backgrounds. Strive to create a diverse and equitable workplace.

Equal Opportunity Employer:
Innovative Renal Care is an equal opportunity employer and a drug free workplace. All qualified We applicants will receive consideration for employment without regards to race, color, religion, sex, sexual orientation, gender identity, national origin, citizenship, disability, or protected veteran status.

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