Charge Entry Specialist

2 weeks ago


Aldie VA USA, United States Trusted Doctors, LLC Full time
Job Title: Charge Entry Specialist

We are seeking an experienced Charge Entry Specialist to join our team at Trusted Doctors, LLC. As a key member of our pediatric office, you will play a crucial role in reviewing charges and scrubbing claims to ensure accurate and timely payment.

Responsibilities:
  • Review and analyze source data from Trusted Doctors providers to ensure accurate recording of demographics and insurance information.
  • Expertly review and append modifiers based on payer-specific policies, including HCPC, CPT, and ICD-10 codes.
  • Reduce denials by correctly using modifiers, mapping, and linking codes with services.
  • Track and follow up on information requests to and from providers, ensuring seamless communication.
  • Work with providers and practices to resolve charge questions and facilitate information exchange.
  • Achieve a 48-hour turnaround review time and resolve any rejections or query responses from practices.
  • Comply with all policies and procedures related to the position, department, and company.
Requirements:
  • High School Diploma or GED
  • 1-2 years of experience in a related field
  • Coding Certificate required
Preferred Skills:
  • Extensive knowledge of email, search engines, and Internet
  • Ability to effectively use payer websites and Microsoft Products (Outlook, Word, Excel)
  • Preferred experience with eClinical Works
Physical Demands:

This is a primarily sedentary office classification with moderate noise levels, controlled temperature conditions, and no direct exposure to hazardous physical substances. Clear speaking voice and finger dexterity are necessary for computer use.

This job description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, abilities, and working conditions may change as needs evolve.



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