POSITION SUMMARY :
The Office Charge Entry Billing Spcialist-Data Entry position is responsible for accurate, timely posting off all charges to ensure the maximum reimbursement for services performed by the physicians.
Responsible for accurate, timely posting of payments received in the offices and daily balancing thereafter.
ESSENTIAL JOB DUTIES :
- Responsible for retrieving charges that are entered in by the physicians for all offices.
- Responsible for posting monies collected at all offices locations.
- Confirms charges are entered into Centricity with correct CPT and diagnoses codes before approving.
- Responsible for resolving upfront claim edits and errors.
- Responsible for ensuring the compliance of carrier regulations as it pertains to billable services.
- Responsible for the follow-up of all missing charges and or diagnosis codes, and claims on hold for further information.
- Communicate with doctors and back-office staff for billing necessities.
- Complete assigned batch with daily charges within the 3-day protocol required.
- Batch and submit claims daily.
- Assists the department staff with projects.
- Maintain patient confidentiality by following HIPAA policies and procedures.
- Other duties as assigned per the need of the organization and within scope of position.
Position Requirements
KNOWLEDGE, SKILLS AND ABILITIES :
- Knowledge of Microsoft Office products.
- Knowledge of Medical Billing, CPT and ICD-10, and HCPCS codes.
- Knowledge insurance carrier contracts.
- Knowledge of HIPAA regulations.
- Knowledge of medical terminology.
- Ability to work in a fast-paced environment and work well under pressure.
- Ability to work with currency and make change.
- Skill in communicating with insurance carriers as well as patients to get claims paid and collect any account balances.
- Ability to maintain confidentiality and maintain professionalism.
EDUCATION AND / OR EXPERIENCE :
- Two years of medical insurance billing experience.
- Proficiency in researching data for analysis and closure in the account receivable arena.
- Excellent customer service skills.
- Excellent verbal and written communication skills.
- Excellent analytical and problem-solving skills.
- Must possess a strong attention to detail.
PHYSICAL DEMANDS / WORK ENVIRONMENT :
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.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the following physical / work environment functions apply :