Charge Entry Rep

Type: This is a full-time position, days and hours of work are Monday-Friday 8 a.m.-5p.m.
Supervision Exercised: None.

Supervision Received: Reports to Team Lead/Office Manager.
Summary/Objective: The Charge Entry position is responsible for accurate entry of physician charges.

Essential Functions:

• Responsible for accurate entry of physician charges
• Responsible for maintaining knowledge of all procedural and diagnostic codes which includes identifying appropriate codes and informing staff when services are coded incorrectly.
• Works with staff to resolve coding issues and associated problems.
• Responsible for balancing charges daily.
• Responsible for posting of payments collected by office or department.
• Maintains strict confidentiality

Other duties, if assigned to payment posting:

• Post each batch in a timely fashion confirming patient's account number, date of service, name, and date of birth to ensure payment is being applied to correct account.
• Apply all proper adjustments to patient accounts to include deductible, copays, coinsurance and contractual adjustments. Direct denials to the appropriate department.
• Verify batch totals, edit and reconcile all posted payment batches from the software on a daily basis to ensure accounts have been balanced and batches are closed.

Other duties, if assigned to collections:

• Follow-up with patients and ensure outstanding balances are paid.
• Utilize an A/R report to identify outstanding balances.
• Coordinate payment arrangements.
• Research mail returns for current patient demographics.
• Submits accounts to collection agency.

Competencies:

• At least 3 years experience as a Charge Entry Rep in medical billing
• At least 1 year experience with clinical and techincal claims denial management in medical billing setting.
• Demonstrated understanding of medical terminology required.
• Knowledge of patient confidentiality and HIPAA regulations.
• Knowledge of CPT, HCPCS, AND ICD-10 coding required.
• Understand insurance regulations as they apply to the job function.
• Knowledge of electronic health records (EHR/EMR) or healthcare related computer systems.
• Organized; sets priorities; meets deadlines

Skills and Abilities:

• Ability to work independently.
• Ability to maintain a positive attitude.
• Ability to enter accurately data.
• Ability to communicate politely, effectively and clearly with patients, staff and others.
• Strong work ethic

Education: High School Diploma or GED Required.

Travel: No travel is required.

Work Environment:

This job operates in a clerical, office setting within a confined cubical area. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

This is largely a sedentary role (sitting 8-9 hours per day); however, some filing is required. This would require the ability to lift files (up to 20 lbs.), open filing cabinets and bend or stand on a stool as necessary. This role requires manual coordination.

This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working condition may change as needs evolve at any time with or without notice.

Requirements

• Education: High School Diploma or GED Required.
• At least 3 years experience as a Charge Entry Rep in medical billing
• At least 1 year experience with clinical and techincal claims denial management in medical billing setting.