Specialist-Charge Entry

About the Role

Responsible for the daily completion of charge entry, working closely with coders. Performs duties related to charge capture, reconciliation, edit resolution, and revenue integrity within professional billing operations.

Responsibilities

• Handle telephone communication with patients, insurance companies, and clinic personnel.
• Enter charges into the Epic system based on coded information from coding staff.
• Verify CPT®, HCPCS, ICD-10-CM, modifiers, revenue codes, and other billing elements.
• Ensure charges are entered within established productivity and timeliness standards.
• Resolve missing, duplicate, and inaccurate charges.
• Monitor charge work queues and charge review queues.
• Reconcile daily charges against schedules, encounters, procedure logs, and clinical documentation.
• Identify missing charges and collaborate with providers and departments to obtain required information.
• Research and correct charge discrepancies.
• Maintain charge reconciliation logs and supporting documentation.
• Complete assigned goals.

Requirements

• Microsoft Office experience (Excel and Word).
• High School Diploma or GED.
• PC skills and keyboarding ability.
• Ability to type/key accurately, problem-solving skills, written and oral communication skills, and financial counseling skills.
• Knowledge of insurance billing, collections, and guidelines.
• Effective verbal and written communication skills.
• Effective customer service skills.

Qualifications

• Preferred: One (1) year of customer service, collection service, billing, and third-party collections in a physician or hospital billing office setting.
• Preferred: Interest in or pursuing coding certification, medical billing certification, or related coursework.
• Preferred: Associate degree in Business, Finance, or related field.
• Preferred: MS Office, Outlook, and advanced phone system experience.
• Preferred: Knowledge of ICD-9, ICD-10, CPT, and HCPCS codes.