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Charge Entry Specialist

2 months ago

Flint, United States Michigan Institute of Urology Full time

Charge Entry Specialis

Flint, MI

JOB DESCRIPTION

GENERAL SUMMARY

The Charge Entry Specialist is responsible for accurate and timely posting of patient payments, reconciliation of bank deposits. This includes the posting of both electronic and manual payments into the practice management system while resolving any electronic rejections. Payments will be entered into the practice management system in an efficient and timely manner determined by Revenue Cycle Management (RCM). They work with the Business Office Supervisor to escalate payment posting issues to prevent incorrectly posted payments.

ESSENTIAL JOB FUNCTION/COMPETENCIES

Responsibilities include but are not limited to:

  • § Posts payments manually into the practice management system according to set standards and productivity measures (payments processed include live checks, electronic transfers, and credit cards and cash).
  • Moves applicable amounts to identified insurance carriers or patient liability per department financial policies and procedures.
  • § Verifies all monies have balanced to batch total upon batch completion.
  • § Identifies and corrects misapplied payments/adjustments.
  • § Reconciles cash deposits to maintain appropriate allocation of cash receipts.
  • § Posts unapplied cash .
  • § Assists the Supervisor in the creation and maintenance of daily/weekly/monthly cash deposit log.
  • § Identifies and communicates cash deposit trends to leadership.
  • § Reviews and audits refund requests as needed in accordance with management policies and procedures.
  • § Strives to maintain posting of cash within 24 hours of receipt to practice management system, balances cash daily .
  • § Ensures payments are deposited and posted to patient accounts and reconciled before each month-end period ends.
  • § Communicates with Coders,Billerss , and Business Office staff when necessary to resolve errors and clarify issues.
  • § Identifies process opportunity trends and recommend ways to improve efficiencies
  • § Ensures adherence to third party and governmental regulations relating to coding, billing, documentation, compliance, and reimbursement.
  • § Participates in special projects, personal development training, and cross training as instructed.
  • § Informs Supervisor of trends, inconsistencies, discrepancies for immediate resolution.
  • § Works in conjunction with peers and functional areas of the Business Office department for the betterment of completing tasks and the company overall.Manually entrs office charges including modifiers, CPT, and ICD-10 codes.
  • § Performs other position related duties as assigned.
  • § Employees shall adhere to high standards of ethical conduct and will comply with and assist in complying with all applicable laws and regulations. This will include and not be limited to following the Solaris Health Code of Conduct and all Solaris Health and Affiliated Practice policies and procedures; maintaining the confidentiality of patients' protected health information in compliance with the Health Insurance Portability and Accountability Act (HIPAA); immediately reporting any suspected concerns and/or violations to a supervisor and/or the Compliance Department; and the timely completion the Annual Compliance Training.
  • CERTIFICATIONS, LICENSURES OR REGISTRY REQUIREMENTS
  • § N/A
  • KNOWLEDGE | SKILLS | ABILITIES
  • § Demonstrate understanding of business and how actions contribute to company performance.
  • § Demonstrate excellent customer service skills.
  • § Knowledge of medical terminology, healthcare coding systems, and clinics functions.
  • § Maintain a complete understanding of payment posting protocols and required software systems.
  • § Develop and maintain a working knowledge of payer rules and guidelines.
  • § Track trends, inconsistencies, or discrepancies and resolve and/or escalate to a supervisor as appropriate.
  • § Ability to follow policies and procedures for compliance, medical billing, and coding.
  • § Ability to type and enter data with proficiency and accuracy.
  • § Proven ability to manage multiple projects at a time while paying strict attention to detail.
  • § Ability to successfully meet departmental deadlines.
  • § Knowledge of governmental regulations and compliance requirements.
  • § Knowledge of Medicare, Medicaid, managed care, and other third-party payer's guidelines.
  • § Excellent verbal and written communication skills.
  • § Excellent organizational skills and attention to detail.
  • § Strong analytical and problem-solving skills.
  • § Skill in using computer programs and applications including Microsoft Office.
  • § Complies with HIPAA regulations for patient confidentiality.
  • § Complies with all health and safety policies of the organization.
  • EDUCATION REQUIREMENTS
  • § High School Diploma or equivalent required.
  • EXPERIENCE REQUIREMENTS
  • § Minimum 2 years cash posting, billing or follow-up experience within a physician's office or medical environment.
  • § Experience in Urology physician practice environment preferred.