CO Charge Entry Specialist

2 weeks ago


Middle River, United States Johns Hopkins University Full time

We are seeking a COCharge Entry Specialistwho will be responsible for processing of bills for professional services rendered. Responsible for verification of registration information in JHM and JHU/ PBS billing applications. Handle adjustments and account inquiries. Identify charge entry issues and assist in the resolution of claim edits.

Specific Duties & Responsibilities

Procedural Knowledge

  • Gathers and verifies all information required to produce a clean claim including special billing procedures that may be defined by a payer or contract.
  • Verifies registration information in the EPIC system, applying knowledge of medical insurance coverage to enter and edit registration as necessary.
  • Enters charges into EPIC billing system in a timely and accurate manner following established policies and procedures. Compares amounts to source documents and calculates amounts for totals.
  • Posts time of service payments.
  • Reviews various edit lists and takes appropriate action to correct incomplete claims.
  • Makes account adjustments where appropriate.

Technical Knowledge

  • Comprehensive knowledge and compliance of HIPAA rules and regulations in the dissemination of patient Protected Health Information (PHI).
  • Recognizes and determines proper charge entry sequence to produce accurate and complete claims.
  • Recognizes limited diagnoses for each procedure.
  • Questions incomplete or inaccurate vouchers and notifies supervisor when appropriate.
  • Handles patient and central billing office inquiries courteously and knowledgeably.
  • Working knowledge of JHU/ PBS Billing Applications.

Professional & Personal Development

  • Participate in on-going educational activities.
  • Assist in the training of staff.
  • Keep current of industry changes by reading assigned material on work related topics.
  • Complete three days of training annually.

Service Excellence

  • Must adhere to Service Excellence Standards.
    • Customer Relations.
    • Self-Management.
    • Teamwork.
    • Communications.
    • Ownership/Accountability.
    • Continuous Performance Improvement.
Minimum Qualifications
  • High School Diploma or graduation equivalent.
  • One year experience in a medical billing or similar specialty environment required.
  • Knowledge of medical terminology, CPT/ICD codes and diagnosis coding required.
  • Additional education may substitute for required experience, to the extent permitted by the JHU equivalency formula.

Classified Title: Charge Entry Specialist
Job Posting Title (Working Title):CO Charge Entry Specialist
Role/Level/Range: ATO 37.5/02/OC
Starting Salary Range: $ $25.00 HRLY ($47,060 targeted; Commensurate with experience)
Employee group: Full Time
Schedule: Monday-Friday, 8:30 am - 5:00 pm
Exempt Status:Non-Exempt
Location:Hybrid/JH at Middle River
Department name: SOM Oph Production Unit Billing
Personnel area: School of Medicine



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