Charge Entry Specialist

Summary

Join BizForce as a Charge Entry Specialist in Pediatrics/Family Care! Accurately post charges in NextGen, review documentation, assign medical codes, and resolve billing issues with providers and payers. Meet daily and monthly goals for charge posting and ensure timely claim processing and reimbursements. You will identify and correct coding or billing problems, maintain payer knowledge, and coordinate with clinics for superbills. Additional responsibilities include updating patient information, securing payments, resolving disputed claims, identifying problem accounts, writing appeals, running reports, and meeting department metrics. This permanent work-from-home position offers a competitive salary, benefits, and professional development opportunities.

Requirements

• Ability to navigate around CPT, ICD-10, and HCPCS
• 5 years of Professional coding/billing experience
• Experience Medicare, Medicaid and other commercial and private payers
• Demonstrated well-developed interpersonal skills to interact in sensitive and/or complex situation with a variety of people
• Excellent customer service and professionalism
• Maintains patient confidentiality
• Proficient computer skills
• Organized and efficient
• Self-motivated to meet objectives
• Amenable to work during U.S. business working hours

Responsibilities

• Post medical charges into NextGen software in a timely manner to meet daily and monthly goals
• Reviews and verifies documentation supports diagnoses, procedures, and treatment results
• Identifies diagnostic and procedural information and assigns codes for reimbursements
• Work with providers to correct the diagnosis or procedure codes so that the claim can be processed
• Identify coding or billing problems from EOBs and work to correct the errors in a timely manner
• Maintain in depth knowledge of all payers
• Coordinate with clinics to ensure all outstanding superbills are collected prior to month end close
• Update patient demographic and insurance
• Transfer open balances to correct insurance
• Work with patients and guarantors to secure payment
• Resolves disputed claims by gathering, verifying, and providing additional information
• Identify problem accounts and escalate as appropriate
• Write appeals and include supporting documentation
• Run appropriate reports and contact insurance companies to resolve unpaid claims
• Meet set department metrics and threshold set forth by manager
• Assist with special projects and other job-related duties as needed

Preferred Qualifications

AAPC certification preferred

Benefits

• Permanent Work From Home
• Leave Credits
• Monetary Allowance
• Annual Bonus
• Weekly Paychecks
• Fixed Weekends Off
• Thriving Company Culture with Complete Autonomy
• Exclusive Specialized Training Programs
• Unlock Your Potential with a Highly Competitive Salary