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Fertility Claims Specialist
2 months ago
At Assure Fertility Partners of San Antonio, we are dedicated to providing exceptional fertility care services to our patients. As a key member of our team, the Charge Entry Specialist plays a vital role in ensuring the smooth operation of our billing and claims process.
Key Responsibilities:
- Documentation Review: Conduct thorough reviews of medical documentation to accurately assign CPT and ICD-10 codes for claim creation.
- Billing Data Entry: Enter accurate billing data, including CPT and ICD-10 codes, to create medical claims and post self-pay charges to patient accounts.
- Claim Creation: Prepare electronic claim files for submission to the clearing house on a daily basis.
- Clearing House Management: Monitor accepted and rejected claims at the clearing house level, making necessary corrections to reprocess rejected claims in a timely manner.
- Month-End Reconciliation: Compare transaction reports with daily schedules to ensure timely billing of all services provided each month.
- Account Maintenance: Maintain accurate and up-to-date account information on our system, following established procedures to ensure proper account status at all times.
Requirements:
- Education: High School Diploma or equivalent; college degree preferred.
- Experience: At least one year of work experience in a related field, with medical coding certification or equivalent experience required.
- Skills: Excellent written and verbal communication skills.
What We Offer:
- Competitive Benefits Package: Including employee-only coverage options for medical, dental, and vision plans, as well as basic life insurance, EAP, and long-term disability insurance.
- Adoption Assistance and Fertility Benefits: Supporting our employees' family-building goals.
- Generous Time Off: Including 11 company-paid holidays and PTO starting at 18 days/year.
- Professional Development Opportunities: Including continuing education and professional development reimbursement and time off.
