CHMB/Charge Entry Specialist

Job Title:Charge Entry Specialist

Dept./Division:Operations

Supervisor’s Title:RCM Manager

Positions Supervised: 0

FLSA Class:Non -Exempt

1

CHMB/Charge Entry Specialist

General Job Purpose:

The Charge Entry Specialistposition is responsible to charge input through the careful review of source data provided by CHMB clients byaccurately recordingdemographics and charges associated with patient information and insurance. The position supports the company’s overall Operations and Client Services by efficiently and effectively providing account data needed for the Revenue Cycle process and delivering results.

The identification of Duties and Responsibilities does not display an exhaustive list of all duties that may be assigned to this position, nor does it restrict the related work that may be assigned to this position.

Duties & Responsibilities:

  • Strong customer service skills; answering client calls; prompt return and follow up to all interactions; prompt response to requests for information,both internally and externally
  • Timely input of demographic charges and time of service payment information
  • Expert ability to add specific data such as modifiers, payer specific information, including authorization criteria, CPT and ICD-9 code and date of injury (DOI)
  • Knowledgeable to append modifiers based on payer specifics, insurance and authorization requirements and referring physicians’ unique attributes
  • Understand and interpret the Correct Coding Initiative (CCI) as it applies to charge entry work with CHMB
  • Reduce denials by correct use of modifiers, mapping, and linking codes with services
  • Responsible for the processing and discrepancy reconciliation and closing of charge batches across all systems
  • Ability to successfully track and follow up on information requests to and from the clients.
  • Work with clients and group to facilitate information and resolve charge questions
  • Achieve goal of a 48-hour turnaround batch time
  • Responsible for Claim Edit Reports and Unassigned Money Reports
  • Complies and enforces all policies and procedures related to the position, the department and the company
  • Achieve goals set forth by supervisor regarding error-free work, transactions, processes and compliance requirements
  • Other duties as assigned

Experience/Training/Education:

  • High School Diploma or GED
  • 0-2 years of experience in same/related field

Knowledge/Skills/Abilities:

Technical: Extensive knowledge on use of email, search engine, Internet; ability to effectively use payer websites and Laserfiche; knowledge and use of Microsoft Products: Outlook, Word, Excel. Preferred experience with various billing systems, such as NextGen, Pro and Allscripts.

Personal: Strong written, oral, and interpersonal communication skills; Ability to present ideas in business-friendly and user-friendly language; Highly self-motivated, self-directed, and attentive to detail; team-oriented, collaborative; ability to effectively prioritize and execute tasks in a high-pressure environment.

Communication: Ability to read, analyze and interpret complex documents. Ability to respond effectively to sensitive inquiries or complaints from employees and clients. Ability to speak clearly and to make effective and persuasive arguments and presentations.

Math & Reasoning:

Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to use critical thinking skills to apply principles of logic andanalytical thinking to practical problems.

Physical and Environmental Elements:

This is primarily a sedentary office classification and employees work in an office with moderate noise levels, controlled temperature conditions and no direct exposure to hazardous physical substances. Clear speaking voice is necessary, as well as finger dexterity to access, enter and retrieve data using a computer keyboard, typewriter keyboard or calculator, and to operate standard office equipment. The position occasionally bends, stoops, reaches, pushes and pulls drawers to retrieve and file information and lifts and carries reports and records that typically weigh less than 20 pounds.

Special Requirements:

  • None

1