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CO Charge Entry Specialist

1 month ago

Middle River, United States Johns Hopkins University Full time

The Department of Neurology is seeking a

CO

Charge Entry Specialist

for the Neurology Production Unit Billing division in the School of Medicine. The Charge Entry Specialist will be responsible for processing of bills for professional services rendered, verification of registration information in JHM and JHU/ PBS billing applications and will handle adjustments and account inquiries. Identify charge entry issues and assist in the resolution of claim edits.

Specific Duties and 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 IDX system, applying knowledge of medical insurance coverage to enter and edit registration as necessary.

Enters charges into IDX 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.

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.

Preferred Qualifications Ability to use various billing and patient information computer systems preferred. Knowledge of various payer processing and submission guidelines preferred.

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: $15.70 - $25.25 HRLY (Commensurate with experience) Employee group: Full Time Schedule: M-F 8:30 am - 5:00 pm Exempt Status:Non-Exempt Location:JH at Middle River Department name: SOM Neuro Production Unit Billing Personnel area: School of Medicine