Description

Position:

Charge Entry Specialist

Department:

Medical Billing/Revenue Cycle

FLSA Status:

Non-Exempt

Reports To:

Billing Supervisor/Revenue Cycle Manager

JOB DESCRIPTION

JOB SUMMARY:

The Charge Entry Specialist is responsible for accurately entering patient demographics and charges into the billing system to ensure timely and accurate claim submission. This role plays a crucial part in the medical billing process by reviewing and entering data from clinical documents and ensuring compliance with payer guidelines and company policies.

Supervisory Responsibilities:

• None

Safety Sensitive Role:

• Yes

Duties/Responsibilities:

• Review patient encounter forms, operative notes, and other clinical documentation for completeness and accuracy.

• Enter charges into the billing software with attention to proper CPT, ICD-10, and HCPCS coding.

• Verify insurance information and ensure correct billing of services.

• Identify and flag any missing or inconsistent information to prevent billing delays.

• Collaborate with coding and billing staff to resolve discrepancies.

• Meet daily, weekly, and monthly productivity and accuracy goals.

• Maintain confidentiality and adhere to HIPAA regulations.

• Stay updated on coding and billing guidelines, payer policies, and regulatory changes.

• Retrieve records daily from the hospital. Light travel required.

• Perform other duties as assigned.

Required Skills/Abilities:

• Experience with insurance verification and claim submission.

• Knowledge of payer-specific billing requirements.

Education and Experience:

• High school diploma or equivalent required; associate degree or medical billing/coding certification preferred.

• 1+ years of experience in charge entry, medical billing, or related healthcare administrative role.

• Strong understanding of medical terminology CPT, ICD-10, HCPCS codes.

• Familiarity with HER/EMR systems (e.g., Epic, Cerner, eClinical Works).

• High attention to detail and accuracy.

• Excellent data entry skills and proficiency in Microsoft Office (Excel, Word, and SharePoint).

Physical Requirements:

• Prolonged periods of sitting at a desk and working on a computer.

• Must be able to lift up to 20 pounds at times.

Disclaimers

• This job description reflects EngageMED’s assignment of essential functions, it does not prescribe or restrict the tasks that may be assigned.

• Critical features of this job are listed above. They may be subject to change at any time due to reasonable accommodation or other reasons.