Job Description :

• Charge Entry Executive Invoices and Claims Filing

  Job Description

  The main "Front-End RCM Data Anchor, Superbill Entry Specialist, Billing Accuracy Engine & Claim Submission Integrity Guardian" in our medical billing and revenue cycle operations is the Charge Entry Executive in Medical Billing Revenue Cycle Management (RCM), Demographic & Superbill Entry, CPT/ICD-10 Verification, Claim Scrubbing & Financial Analytics Specialist. Your main responsibility is to precisely capture, enter, verify, and scrub all patient demographic information, insurance coverage information, diagnostic codes (ICD-10), procedural codes (CPT/HCPCS), and modifier combinations from superbills, encounter forms, and electronic health records (EHR) into the billing system, while Revenue Cycle Managers, Billing Directors, and Chief Financial Officers (CFO) set up macro financial collection strategies, provider fee schedules, compliance policies, and overall revenue cycle frameworks.

   

  Responsibilities:

  Execution of Superbill and EncounterCharge Entry: Within the target Turnaround Times, accurately enter patient demographics, insurance policy details, clinical encounter dates, rendering/billing provider information and charge amounts from superbills, charge sheets and EHR system queues into the Practice Management software.

  CPT, ICD-10, and Modifier Verification: To guarantee correct code linkage and NCCI edit compliance, examine and cross-verify assigned CPT/HCPCS procedure codes, ICD-10-CM diagnosis codes, and suitable billing modifiers against provider documentation.

  Front-End ClaimScrubbing & Error Resolution: Before sending claims to clearinghouses or payers, run pre-submission claim scrubbers, find missing fields, unlinked diagnoses, or demographic mismatch issues, and fix front-end rejections.

  Prior Authorisation & FeeSchedule Application: To avoid downstream claim denials, make sure that the necessary prior authorisation numbers, referral information, and accurate fee schedule rates are accurately recorded on each claim line item.

   

  Skills:

  Mastery of Medical Billing and Superbill Translation: Proficiency in interpreting hospital face sheets, surgical notes, electronic medical records, physician encounter forms, and superbills in a variety of medical specialities.

  Strong knowledge of medical language, diagnostic/procedural coding, code-to-diagnosis linking, modifier application guidelines, and National Correct Coding Initiative (NCCI) changes is required for CPT, ICD-10, and HCPCS coding and modifiers.

  Proficiency in Medical Billing Software and Clearinghouse: Practical knowledge of major Practice Management (PM), EHR, and clearinghouse software (Availity, Change Healthcare, Waystar).

  High-Speed Data Entry & Attention to Detail: High first-pass clean claim rates are maintained by exceptional alpha-numeric data entry speed, 10-key numeric keypad accuracy, careful verification practices, and zero-error tolerance.

   

  We invite you to apply and explore this exciting opportunity!

  Warm Regards,

  HR - Maria

  88708 33430

  infohrmaria04@gmail.com