Charge Review Associate II

Posted 3 Days Ago
Be an Early Applicant
San Marcos, CA, USA
In-Office
25-35 Hourly
Mid level
Healthtech • Professional Services • Social Impact • Telehealth
The Role
Perform intermediate review, validation, and correction of patient charges; post and reconcile patient and insurance payments; resolve discrepancies, refunds, and recoupments; interact with payers, internal departments, and patients to ensure billing accuracy, compliance, and strong customer service across the revenue cycle.
Summary Generated by Built In
                                                                   
 

At TrueCare, we believe that everyone deserves access to excellent healthcare.  For over 50 years we have been helping patients and families have timely, affordable, and expert healthcare.  Joining us is just a click away.  Health inside. Welcome in.
Are you passionate about working for an organization that provides compassionate, high-quality care to underserved communities? Join our mission-driven team as the Accounts Payable / Accounts Receivable Supervisor and help make a meaningful impact on the lives of patients who need it most.
Your Role & Impact

The Charge Review Associate II performs intermediate-level review, validation, and correction of patient charges; posts and reconciles patient and insurance payments; resolves account discrepancies including refund and recoupment processing. This position interacts with payers, internal departments, and patients to ensure accuracy, compliance, and excellent customer service across the billing and revenue cycle process.
A Charge Review Associate covers everything from initial code assignment, claim generation, payment posting, resolving claim denials to collecting final patient payments. Review medical charges and system work queues before an insurance claim is officially sent out. Catching missing information, checking for unlinked diagnoses and adding or fixing CPT/ICD codes to resolve payer specific software edits and make sure the claim is clean and compliant. 

Requirements:

•High school diploma or equivalent.
•A minimum of three (3) years of experience in medical billing, charge review, and payment posting in a healthcare setting.
•Knowledge of the revenue cycle, Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System (HCPCS) and International Classification of Diseases (ICD-10) codes and payer billing guidelines.
•Familiarity with managed care plans.
•Strong computer skills, including Microsoft Office, Excel, and electronic health record (EHR)/practice management systems.
•Knowledge of medical terminology.
*Community Clinic experience highly desired.
Why Join Us
We’re a mission-driven healthcare organization committed to making quality care accessible for everyone. Here, you’ll have the opportunity to:
  • Provide care that truly impacts the community
  • Grow your skills through continuing education
  • Work with a collaborative, supportive team
Perks & Benefits:
  • Competitive pay
  • Generous paid time off
  • Low-cost health, dental, vision & life insurance

Join us in creating healthier communities!

The pay range for this role is $25.30 - $35.42 on an hourly basis.
 

Skills Required

  • High school diploma or equivalent
  • Minimum of three (3) years experience in medical billing, charge review, or payment posting in a healthcare setting
  • Knowledge of the revenue cycle and payer billing guidelines
  • Knowledge of CPT, HCPCS, and ICD-10 coding
  • Familiarity with managed care plans
  • Strong computer skills, including Microsoft Office and Excel
  • Experience with electronic health record (EHR) and practice management systems
  • Knowledge of medical terminology
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The Company
HQ: San Marcos, CA
614 Employees
Year Founded: 1971

What We Do

As a nonprofit community health center, TrueCare is dedicated to delivering a superior and compassionate healthcare experience, reducing barriers and increasing accessibility to quality care for diverse communities.

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