Charge Entry

Job Description Black And White Business Solutions is seeking a skilled Charge Entry specialist with expertise in Physician Billing. This role requires strong experience in multi-specialty charge entry, proficiency in E&M coding, and a solid understanding of insurance verification and billing workflows. The ideal candidate will possess excellent attention to detail and strong communication skills, ensuring accurate and compliant billing processes for our clients. Must Have Skills - Experience in physician billing and multi-specialty charge entry: Proven hands-on experience in accurately entering charges for physicians across various medical specialties. - Proficiency in E&M coding and familiarity with CPT/ICD-10/HCPCS codes: Strong understanding and practical application of Evaluation and Management (E&M) coding, along with knowledge of CPT (Current Procedural Terminology), ICD-10 (International Classification of Diseases, 10th Revision), and HCPCS (Healthcare Common Procedure Coding System) codes. - Strong understanding of insurance verification and billing workflows: In-depth knowledge of processes involved in verifying patient insurance eligibility, benefits, and the end-to-end billing cycle. - Experience using billing and EMR software (Athena, Kareo, eClinicalWorks, NextGen, etc.): Practical experience with various commonly used medical billing and Electronic Medical Record (EMR) software systems. - Excellent attention to detail and data accuracy: Meticulous approach to reviewing documentation and entering data, ensuring high levels of precision to minimize errors. - Strong communication skills (verbal and written): Ability to communicate clearly and professionally with colleagues, physicians, and other stakeholders regarding billing inquiries and documentation needs. Good to Have Skills - Knowledge and expertise in physician billing and multi-specialty charge entry: Comprehensive understanding and advanced proficiency in the intricacies of physician billing and charge entry across diverse medical specialties. Roles and Responsibilities - Accurately enter physician charges into the billing system based on clinical documentation, ensuring all services rendered are captured. - Apply correct E&M (Evaluation and Management) codes, CPT, ICD-10, and modifiers in strict compliance with payer rules and official coding guidelines. - Process charge entries across multiple specialties, including but not limited to internal medicine, cardiology, orthopedics, etc., demonstrating versatility. - Validate provider documentation to ensure it is complete, supports the services billed, and adheres to compliance standards. - Verify insurance coverage and eligibility prior to billing to prevent denials, confirming patient benefits and responsibilities. - Confirm plan details, policy status, coordination of benefits (COB), and pre-authorization requirements, ensuring all necessary approvals are in place. - Document verified insurance information in the system accurately and comprehensively for future reference and audit trails. - Review and enter accurate patient information, including name, date of birth, address, insurance ID, and guarantor details, to maintain clean patient demographics. - Maintain HIPAA compliance and ensure completeness of registration data to avoid front-end denials, protecting patient privacy and ensuring data quality. - Follow payer-specific guidelines meticulously for E&M coding and charge processing to maximize clean claim submission rates. - Coordinate with coding teams or physicians for clarification on incomplete or ambiguous medical records, facilitating accurate charge capture. - Report any issues related to documentation or insurance to the team lead/supervisor promptly, ensuring quick resolution and process improvement. Qualification - Any Graduate and Undergraduate CTC Range - 3 to 4.8 LPA (Lakhs Per Annum) Notice Period - Immediate Interview Mode - Virtual Contact: Chaitanya HR Analyst- TA-Delivery Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number: 080-67432445 | WhatsApp @ 8431371654 Email: [Confidential Information] | Website: www.blackwhite.in