Escalation Resolution Specialist Jobs (NOW HIRING)

The Finance Operations Charge Resolution Specialist supports accurate and compliant professional charge capture through the resolution of Epic charge review work queue errors and warnings. This role ensures charges are complete, correctly applied, and properly routed prior to claim submission. The Charge Resolution Specialist partners with clinic Charge Champions, specialty service lines, and revenue cycle teams to resolve charge-related issues and improve charge accuracy. Through real-time issue resolution, trend identification, and escalation of systemic defects, this role contributes to improved charge capture processes and overall revenue cycle performance.

We are committed to offering flexible work options where approved and stated in the job posting. However, we are currently not considering candidates who reside or plan to reside in the following states: California, Connecticut, Hawaii, Illinois, Massachusetts, Minnesota, New York, Pennsylvania, Rhode Island, Vermont, and Washington. Colorado for remote caregivers' whose assigned Intermountain facility or service area is not based in Colorado.

Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings.

Hiring manager is considering applicants who have experience working with pre-bill encounters. Experience with reviewing and analyzing claims errors and system discrepancies, determine root causes, and develop corrective actions to ensure accurate claims processing and prevent future occurrences.

Essential Functions

• Reviews and resolves Epic charge review workqueue errors and warnings to ensure accurate and compliant charge capture prior to claim submission.
• Supports additional assigned work across Epic workqueues as needed to maintain operational efficiency and throughput.
• Researches and corrects charge discrepancies, including missing charges, incorrect modifiers, and charge routing issues, utilizing approved coding resources and established guidance.
• Utilizes standing orders and other approved coding resources to apply CPT/HCPCS coding principles and payer billing rules, supporting accurate and compliant charge capture without functioning as a certified coder and under established coding guidance
• Partners with and serves as a subject matter resource for clinic Charge Champions, specialty service lines, and revenue cycle stakeholders to resolve charge-related issues.
• Independently resolves complex or high-impact charge issues and serves as an escalation point within the charge review process.
• Identifies trends, recurring defects, and workflow gaps contributing to charge review errors and escalates findings to appropriate stakeholders.
• Contributes to workflow improvement efforts by recommending process enhancements that reduce defects and improve charge capture accuracy.
• Supports knowledge sharing and mentoring within the Charge Resolution Specialists team as applicable.

Skills

• Data Analysis
• Revenue Cycle Knowledge
• Medical Billing and Coding
• Auditing and Investigation
• Clinical Literacy
• Collaboration
• Electronic Medical Records (EMR)
• Communication Verbal and Written
• Computer Literacy
• Workload Management

Required Qualifications

• Demonstrated experience in medical billing, coding, or revenue cycle operations.
• Experience working within electronic medical record systems, preferably Epic workqueues.
• Working knowledge of CPT/HCPCS coding principles and payer billing requirements under established guidance.
• Strong analytical, problem-solving, and communication skills.
• Ability to manage workload, prioritize tasks, and resolve issues independently.

Preferred Qualifications

• Experience supporting charge review or charge capture workflows within Epic.
• Familiarity with professional revenue cycle processes, including charge routing and modifier application.
• Experience identifying trends and contributing to workflow or process improvement initiatives.

Physical Requirements

• Ongoing need for employee to see and read information, labels, documents, monitors, identify equipment and supplies, and be able to assess customer needs.
• Frequent interactions with providers, colleagues, customers, patients/clients and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately.
• Manual dexterity of hands and fingers to manipulate complex and delicate supplies and equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc.
• For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.

Location: Employee Service Center

Work City: Murray

Work State: Utah

Scheduled Weekly Hours: 40

$18.82 - $28.66