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Sr. Charge Analyst

Chandigarh

1 - 3 years

INR Not disclosed

On-site

Full Time

Job Title: Charge Analyst/Sr. Charge Analyst Department: Charge Entry Reports To: Charge Entry Team Lead / Manager Location: Chandigarh, India Company Overview: ProBill RCM ProBill RCM is a dynamic and growing medical billing and revenue cycle management (RCM) company dedicated to optimizing financial performance for healthcare providers across various-specialties. We leverage advanced technology and a team of meticulous experts to deliver-accurate, compliant, and efficient billing solutions, ensuring our clients achieve maximum reimbursement and operational efficiency. We pride ourselves on our attention to detail,commitment to client success, and a collaborative work environment. Position Summary: The Charge Analyst is a vital member of ProBill RCM's Revenue Cycle Management team,primarily responsible for the accurate and timely entry of patient charges into our billing systems. This role requires meticulous attention to detail, a strong understanding of medical coding, excellent data entry skills, and the crucial ability to verify patient eligibility and benefits prior to charge entry to minimize denials and optimize revenue capture. Key Responsibilities:  Eligibility & Benefit Verification (Pre-Charge Entry): o Proactively verify patient insurance eligibility and benefits for scheduled services before charges are keyed, identifying any discrepancies or issues that could lead to denials. o Confirm patient demographic and insurance information is accurately recorded in the billing system.  Accurate Charge Entry : o Review and meticulously analyze medical documentation (e.g., encounter forms, super bills, operative reports, physician notes) to ensure complete and accurate capture of all services rendered. o Assign appropriate CPT, HCPCS, and ICD-10 codes based on clinical documentation, payer guidelines, and established coding principles. o Accurately input charges, dates of service, rendering provider details, and other relevant billing information into the practice management/billing software within defined daily productivity and accuracy targets. o Apply correct modifiers to CPT codes as required by payer policies and specific service circumstances to ensure compliant billing.  Quality Assurance & Compliance: o Perform daily pre-submission audits and quality checks on entered charges to identify and correct any potential errors or discrepancies before claims are submitted. o Ensure all charge entry processes comply with federal, state, and payer-specific coding and billing regulations (e.g., HIPAA, OIG guidelines, NCCI edits). o Identify and report any recurring documentation or coding issues that may lead to claim denials.  Issue Resolution & Communication: o Identify discrepancies, missing documentation, or unclear information and communicate effectively with providers, clinical staff, or client representatives for timely clarification and resolution. o Collaborate closely with other RCM team members (e.g., Accounts Receivable, Denial Management, Payment Posting) to resolve billing issues related to charge capture and ensure a seamless revenue cycle.  Performance Metrics: o Consistently meet or exceed established daily/weekly productivity goals and maintain a high standard of accuracy. Qualifications:  Education: o High School Diploma or equivalent required. o Associate's or Bachelor's degree in Healthcare Administration, Medical Billing &Coding, or a related field is a plus.  Experience: o 1-3 years of direct experience in medical charge entry, medical coding, or eligibility verification within a medical billing or RCM environment. o Prior experience with Physical Therapy (PT) or other specialty-specific billing is highly advantageous.  Skills & Knowledge: o Proficient knowledge of medical terminology, CPT, ICD-10-CM, and HCPCS Level II coding systems, including strong modifier knowledge. o Typing speed of 35-40 Words Per Minute (WPM) with high accuracy. o Experience with various practice management and electronic health record (EHR) systems. o Exceptional attention to detail and a high level of accuracy. o Strong analytical and problem-solving abilities to identify and resolve coding and charge entry issues. o Ability to work independently, manage time effectively, and prioritize tasks in a fast-paced, high-volume environment. o Proficiency in Microsoft Office Suite, particularly Excel. What ProBill RCM Offers:  Competitive salary and performance-based incentives.  Opportunities for professional growth and skill development within a rapidly expanding company.  A collaborative, supportive, and dynamic work environment.  The chance to significantly impact the financial success of healthcare providers. To Apply: Interested candidates are invited to submit their resume and a brief cover letter outlining their relevant experience and why they are a good fit for this role to hr@probillrcm.com Job Type: Full-time Benefits: Health insurance Leave encashment Paid sick time Paid time off Schedule: Monday to Friday Rotational shift Work Location: In person

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