Charge Entry Specialist

About the role

Axia Women's Health is the nation’s largest community-based, integrated women's health network serving women throughout New Jersey, Pennsylvania, Indiana, and Kentucky, with over 400 providers across nearly 150 locations offering OB/GYN care, breast health, high‑risk pregnancy care, urogynecology, behavioral health, and fertility services. Recognized as the #1 Physician Practice for Women’s Health by Castle Connolly and a Great Place to Work for five consecutive years. The Charge Entry Specialist provides business assistance to Axia Women’s Health practices so practitioners can focus on delivering compassionate, comprehensive health care for women at every stage of life.

Responsibilities

• Reviews encounters created by providers to ensure the accuracy and completeness of billing codes and documents prior to submitting claims for reimbursement by insurance payors.
• Gathers information from outside entities related to services rendered by Axia providers in hospitals, ambulatory surgical centers, and other ancillary locations.
• Scans documents and enters charges for out‑of‑office and in‑office ancillary care, including but not limited to obstetrical deliveries, surgeries, and diagnostic procedures.
• Submits clean claims to Axia RCM for submission to insurance payors.
• Reworks or augments claims as required by clearinghouse or insurance payor rejections and denials via outside vendor.
• Reports performance using established reporting.
• Reconciles claims submitted against appointments booked to ensure that all services rendered by Axia providers are documented and submitted for reimbursement.
• Researches, documents, and communicates insurance payor rules and requirements related to claims and reimbursement to Axia providers and staff.
• Researches and understands insurance payor denials and rejections and works with Axia providers and staff to implement/revise policies and procedures to resolve the root cause of denials and rejections.
• Trains new Billing employees and current coworkers on Axia billing policies and procedures.
• Provides excellent customer service by promptly responding to emails, answering telephones, and following up on any outstanding concerns in a timely manner.
• Embraces a team‑work environment and helps with various projects from colleagues and supervisor.

Requirements

• Minimum 4 years’ experience in a similar role in a medical practice or hospital environment.
• High school diploma or equivalent required; some college education preferred.
• Certification in Medical Billing preferred.
• OB/GYN billing/coding experience preferred.

Skills

• Specialized knowledge of Medical Billing, Medical Coding, HIPAA, Insurance Payors, and Federal & State rules and regulations.
• Mastery of eClinicalWorks (eCW) or similar practice management system.
• Ability to maintain confidentiality.
• Reliable and productive approach to daily work and team.

Benefits

• Full time benefit‑eligibility beginning the first of the month after hire.
• 401(k) with company match.
• Generous PTO offering with additional time off for volunteering.
• Choice of multiple medical insurance plans to best meet your needs.
• Access to Axia providers at little to no cost through Axia’s medical insurance.
• Axia‑paid life insurance, short term and long term disability.
• Free counseling for colleagues and family members, including parents and parents‑in‑law.
• Access to discount on Hotels, Theme Parks, Gym Memberships, and more through the Great Works Perks Program.
• Additional insurance options including dental, vision, supplemental life insurance, FSA, HSA w/ employer contribution, identity theft, long term care, pet insurance and more.

Pay

The estimated range is the budgeted amount for this position. Final offers are based on various factors, including skill set, experience, location, qualifications and other job‑related reasons.