RCM Charge Entry Specialist

Responsible for charge entry through the careful review of source data provided by clients with accurate recording demographics and charges associated with patient information and insurance.

Supports the RCMS BUs overall Operations and Client Services by efficiently and effectively driving the accounts receivable process and achieving KPI results.

No budget responsibilities, but must meet established RCM KPIs.

Main Duties:

• • 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 codes 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 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 Successfully and effectively track and follow up on information requests to and from the clients. Work with clients and others 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 Achieve goals set forth by RCM Management regarding error-free work, transactions, processes, productivity and compliance requirements Other duties as assigned

Academic

• • High School Diploma or GED (Required)

1+ year relevant work experience (Preferred)

• • Extensive knowledge with email, search engines, Internet; ability to effectively use payer websites and
    Laserfiche; basic competence in use of Microsoft products. Preferred experience with MS Access and PowerPoint, Crystal reports and various billing systems, such as Next Gen, Pro, Epic and others.