Charge Review/Entry Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Review supporting documentation to ensure all billable services are accurately captured.

• Enter charges precisely into practice management and/or electronic health record systems within the required turnaround times.

• Validate billing components such as date of service, provider, location, diagnosis pointers, units, modifiers, and NDC/lot where applicable.

• Identify, investigate, and rectify any missing, duplicate, or inaccurate charges and discrepancies in charges.

• Apply client-specific charge rules, fee schedules, and payer billing guidelines effectively.

• Escalate any unusual cases and compliance issues as necessary.

• Manage charge edits, hold queues, and worklists; document actions taken and maintain audit trails.

• Coordinate with providers, staff, and internal teams to gather missing information and resolve documentation challenges.

• Minimize downstream rework, denials, and payment delays through proactive checks for charge accuracy.

• Uphold productivity and quality standards consistently.

• Engage in training sessions and adhere to HIPAA and company policies regarding PHI.

• Assist with periodic audits, reconciliation, and reporting tasks.

• Execute related duties and special projects as assigned.

⛳️ Requirements

• A high school diploma or equivalent is required.

• An associate degree in healthcare administration, business, or a related field is preferred.

• A minimum of 1 year of experience in healthcare billing, charge entry, charge capture, or revenue cycle operations is essential.

• A working knowledge of medical terminology and basic reimbursement concepts is necessary.

• Familiarity with CPT, HCPCS, ICD-10-CM, modifiers, units, and typical claim form requirements is important.

• Experience with PM/EHR systems and Microsoft Office applications, including Excel, Outlook, and Teams, is required.

• Capability to quickly learn new client systems is essential.

• Strong attention to detail and accuracy while adhering to productivity and quality metrics is crucial.

• Ability to research issues, follow established procedures, and document work clearly is required.

• Excellent communication and customer service skills are necessary.

• A commitment to confidentiality, HIPAA compliance, and adherence to standard policies and procedures is expected.

• Preferred: experience in multi-specialty billing and high-volume charge entry.

• Preferred: experience in charge reconciliation, charge lag reporting, or charge capture audits.

• Preferred: knowledge of payer-specific billing rules and the impact of authorization/referrals.

• Ability to sit for extended periods and utilize computers, keyboards, telephones, faxes, and other office equipment.

• Correctable vision to 20/20 and normal-range hearing for telephone communications is required.

🏝️ Benefits

• Participate in training sessions.

• Adhere to HIPAA and company policies regarding PHI.

• Enjoy a fully remote work arrangement.