Charge Entry Specialist Lead

1 week ago

San Antonio, United States Assure Fertility Partners of San Antonio Full time
Job DescriptionJob Description

The Charge Entry Specialist Lead is responsible for initial submission of insurance claims and self pay posting according to documented procedures. Includes but is not limited to review of medical documentation to assign CPT and ICD10 codes, data entry of CPT and ICD10 codes for correct creation of medical claim, electronic submission of electronic medical claims, follow up and re-submission of claims rejected by clearing house.

Essential Responsibilities:

  • Retrieval of documentation – Including operative and progress reports daily from EMR systems and medical transcription database.
  • Billing Data Entry – Performs correct data entry of CPT and ICD10 codes based on documentation provided by physician/centers for creation of medical claim. Posting of self-pay charges to patient accounts.
  • Claim creation – Prepares electronic claim files for submission to clearing house on daily basis.
  • Clearing House – Monitors accepted/rejected claims at clearing house level. Makes corrections as necessary to reprocess rejected claims in timely manner.
  • Month End reconciliation – Compares transaction reports with daily schedules to ensure timely billing of all services provided each month.
  • Maintains accurate and up-to-date account information on system – Follows the system and reference procedures to ensure proper account status at all times. Ensures proper adjustments are posted, proper financial class is assigned, proper account documentation and billing status is entered.

Education and/or Experience:

  • High School Diploma or equivalent; college degree preferred
  • Medical coding certification, or equivalent experience preferred.
  • 1-3 years work experience in similar or related position.
  • Excellent written and verbal communication skills.

Inception offers fantastic benefits to our team (Family members):

  • FREE employee only coverage option for the medical, dental and vision plans plus FREE basic life insurance, EAP and long-term disability insurance
  • Adoption assistance and fertility benefits
  • Maternity and paternity/partner paid leave
  • 401k with generous match
  • 11 Company-paid holidays, with one floating holiday
  • PTO starting at 18 days/year
  • Family member recognition program
  • Continuing education/professional development reimbursement and time off
  • Family member referral program
  • HealthJoy benefit concierge service and more

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