Job Summary:

The Medical Billing-Charge Entry Specialist is primarily responsible for revenue capture and auditing services and procedures within the revenue cycle to assure proper clean claim adjudication to Medicare and third-party payors.

The medical billing-charge entry specialist serves as a communication link between the coding manager, physician medical assistant, registrations and peers within the revenue cycle billing department.

Essential Duties and Responsibilities:

• Proficient at capturing office visits, office procedures, MRI, and radiology through visit tracking and scheduling reports.
• Knowledgeable in appending modifiers to office visits and office procedures.
• Knowledgeable with all government rules and regulations as it pertains to compliant billing using National Correct Coding Initiative (NCCI), and third-party payor rules.
• Timely charge entry to achieve the goals of the revenue cycle department for adjudication of all claims within 48 hours of the visit.
• Communicate with staff, Physician Medical Assistant, Coding manager, revenue cycle peers within the department to achieve charge entry excellence.

Other Duties May Include:

Physical/Occupational Therapy and DME Charge Capture

MINIMUM QUALIFICATIONS:

• CPC preferred, will consider work experience in lieu of certification
• Education and experience equivalent to: High school diploma or equivalent; supplemented with three (3) years of related work
• Preferred Experience in Greenway Primesuite Practice Management and EMR
• Excellent Communication Skills both verbal and written
• Proficient in Microsoft Office