Charge Review/Entry Specialist

Emploi pas sur LinkedIn

🕒 il y a 27 jours

🇺🇸 États-Unis – Télétravail

⏰ Temps Plein

🟢 Junior

🚫👨‍🎓 Aucun diplôme requis

👻 Score fantôme 12%

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🗣️🇺🇸🇬🇧 Anglais requis

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Logo of Medic Management Group

Medic Management Group

51 - 200 employés

🏥 Santé

💼 Conseil

🤝 B2B

Healthcare • Consulting • B2B

Medic Management Group est une entreprise dont le nom indique qu'elle fournit des services de gestion, administratifs ou de conseil liés aux opérations médicales ou de santé. Les informations publiques fournies étaient limitées (contenu nécessitant des cookies ou une connexion LinkedIn), donc cette description est volontairement prudente : basé sur le nom, il est probable qu'elle soutienne les prestataires de soins de santé, les établissements ou les programmes avec la gestion, le support opérationnel, les services de facturation/administratifs ou le conseil, plutôt que d'être un prestataire de soins direct. Des détails publics supplémentaires seraient nécessaires pour spécifier les services exacts ou le modèle commercial.

Description

• Review supporting documentation to confirm all billable services are captured • Enter charges accurately into practice management and/or electronic health record systems within required turnaround times • Validate billing elements including date of service, provider, location, diagnosis pointers, units, modifiers, and NDC/lot where applicable • Identify, research, and correct missing, duplicate, or inaccurate charges and charge discrepancies • Apply client-specific charge rules, fee schedules, and payer billing guidelines • Escalate unusual scenarios and compliance concerns • Work charge edits, hold queues, and worklists; document actions and maintain audit trails • Communicate with providers, staff, and internal teams to obtain missing information and resolve documentation issues • Reduce downstream rework, denials, and payment delays through proactive charge accuracy checks • Maintain productivity and quality standards • Participate in training and follow HIPAA and company policies for PHI • Assist with periodic audits, reconciliation, and reporting • Perform related duties and special projects as assigned

🎯 Exigences

• High school diploma or equivalent required • Associate degree in healthcare administration, business, or related field favorable • 1+ year of experience in healthcare billing, charge entry, charge capture, or revenue cycle operations • Working knowledge of medical terminology and basic reimbursement concepts • Familiarity with CPT, HCPCS, ICD-10-CM, modifiers, units, and common claim form requirements • Experience using PM/EHR systems and Microsoft Office, including Excel, Outlook, and Teams • Ability to learn new client systems quickly • Strong attention to detail and accuracy while meeting productivity and quality metrics • Ability to research issues, follow written procedures, and document work clearly • Strong communication and customer service skills • Commitment to confidentiality, HIPAA compliance, and standard policies and procedures • Preferred: multi-specialty billing and high-volume charge entry experience • Preferred: charge reconciliation, charge lag reporting, or charge capture audits experience • Preferred: knowledge of payer-specific billing rules and authorization/referral impacts • Ability to sit for long periods and use computer, keyboard, telephone, fax, and other office equipment • Correctable vision to 20/20 and normal-range hearing for telephone contacts

🏖️ Avantages

• Participate in training • Follow HIPAA and company policies for PHI • Fully remote work arrangement

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