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Charge Capture Specialist

3 months ago

Newnan, Georgia, United States Four Winds Health Full time
Job DescriptionJob Description

The Revenue Cycle team is looking for a Charge Entry Specialist to help support our new JV partnership.

The Charge Entry Specialist functions in an administrative role to ensure timely and accurate charge entry for hard copy and electronic claim submission. The Charge Entry Specialist reviews documentation to maximize charge capture. They review account information and billing edits to ensure the highest possible clean claim submission rate. Specialist should have a thorough understanding of payer specific reimbursement guidelines, including Medicare and Medicaid guidelines and state-specific billing rules and requirements when necessary. Specialist should be able to accurately validate patient billed charges, recognize missing charges, and inaccurately applied CPT/HCPCS codes. Responsibilities


• Review and enter charges into practice management system
• Extract information from medical records, operative notes, hospital admissions, consults, progress notes and discharges to ensure completeness and accuracy


• Assist with identifying quality issues with registration and scheduling activities


• Assign and sequence all codes for services rendered
• Collaborate with billing department to ensure all bills are satisfied in a timely manner


• Communicate with insurance companies about coding errors and disputes


• Contact physicians and other health care professionals with questions about treatments or diagnostic tests given to patients regarding coding procedures


• Adhere to productivity standards


• Assist with any additional business needs as requested Minimum Qualifications


• 1+ years of experience in healthcare revenue cycle; medical charge entry / coding / billing preferred


• Epic experience preferred


• High School diploma or equivalent Experience life. Love your job. Key Attributes that will Promote Success in this Role:


• Knowledge of insurance payers, insurance verification, the AR/revenue billing lifecycle and appealing denied claims


• Excellent Computer skills - expertise in MS word suite including Word, Excel and PowerPoint. Experience in using one or more Practice Management Systems/Billing Software


• Energy, enthusiasm and the ability to work under pressure in a high volume, fast paced, unstructured start-up environment


• Ability to work within a team environment and maintain a positive attitude


• Extremely organized with a strong attention to detail


• Motivated, dependable and flexible with the ability to handle periods of stress and pressure.

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