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Charge Entry Specialist - Primary Physician Network-CBO - Full-Time

Company: Saint Joseph Health System
Location: South Bend
Posted on: February 13, 2020

Job Description:

Accountable for entry of all financial transactions including point of service payments, accurate coding and charge entry, and correct insurance information into the practice management software in order to assure maximum reimbursement for the practice. Minimum $14.97 Maximum $21.70 1. Actively demonstrates the organization’s mission and core values, and conducts oneself at all times in a manner consistent with these values. 2. Knows and adheres to all laws and regulations pertaining to patient health, safety and medical information. 3. Assures all office, nursing home, and hospital charges are entered accurately and in a timely manner. This may require verification with the coder or physician/healthcare provider of the appropriate CPT code, ICD-10 code, level of service, and/or modifier. 4. Able to register and verify patient demographics and insurance information in computer system accurately and timely. Depending on the ambulatory care office may be required to check eligibility and update such information into the computer. 5. Able to register accounts for charge entry functions with a high degree of accuracy. 6. Collects, posts and reallocates appropriate payment based on patient’s financial status. Prepares daily deposit, verifies cash drawer balance, balances credit card machine and performs all other responsibilities that may be associated with the collection of monies. 7. Accurately answers basic patient account questions, balance inquiries, worklog tasks and assures resolution. Works closely with CBO or site representative and site manager on all aspects of the billing process, including collection accounts, denials, coding issues, etc. 8. Provides support to the Coding Specialist as required to assure efficient workflow and high productivity standards for the department. 9. Depending on the ambulatory care office, reviews items on hold list on a weekly basis and assures errors are corrected. Communicates with CBO or site representative as appropriate to resolve problems. 10. Addresses questions and tasks from the CBO by responding to requests for additional information, copies of progress notes, insurance cards, etc. 11. Depending on the ambulatory care office, trains and/or audits other office associates in charge entry to assure standardization and system-wide compliance. 12. Prepares reports as directed and pulls information from computer systems as needed for accurate data. Sends weekly reports to Office Managers, Directors and Hospital Department leads. 13. Analyze reports to capture missed charges to increase revenue. 14. Monitor reports to validate completed documentation and timely provider signatures to charge enter services. Send PCO message or an email to provider and/or office manager to request notification of completion of missing signatures or documentation. 15. Keeps abreast of all updates and changes in insurance plans and government rules and regulations to ensure accurate charge entry. 16. Maintains technological competencies, organization, and neatness in work area. Completes all mandatory in services in required timeframe. Regularly assists co-workers as needed. Utilizes resources in a manner, which reflects an understanding of proper stewardship. 17. Depending on the ambulatory care office, maintains knowledge and skills of front office operations. 18. Performs other duties consistent with purpose of job as directed.

Keywords: Saint Joseph Health System, South Bend , Charge Entry Specialist - Primary Physician Network-CBO - Full-Time, Other , South Bend, Indiana

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