Charge Entry Specialist

Charge Entry Specialist

Requirements

• Experience with insurance verification and claim submission.
• Knowledge of payer-specific billing requirements.
• High school diploma or equivalent required; associate degree or medical billing/coding certification preferred.
• 1+ years of experience in charge entry, medical billing, or related healthcare administrative role.
• Strong understanding of medical terminology CPT, ICD-10, HCPCS codes.
• Familiarity with HER/EMR systems (e.g., Epic, Cerner, eClinical Works).
• High attention to detail and accuracy.
• Excellent data entry skills and proficiency in Microsoft Office (Excel, Word, and SharePoint).

Responsibilities

• Review patient encounter forms, operative notes, and other clinical documentation for completeness and accuracy.
• Enter charges into the billing software with attention to proper CPT, ICD-10, and HCPCS coding.
• Verify insurance information and ensure correct billing of services.
• Identify and flag any missing or inconsistent information to prevent billing delays.
• Collaborate with coding and billing staff to resolve discrepancies.
• Meet daily, weekly, and monthly productivity and accuracy goals.
• Maintain confidentiality and adhere to HIPAA regulations.
• Stay updated on coding and billing guidelines, payer policies, and regulatory changes.
• Retrieve records daily from the hospital. Light travel required.
• Perform other duties as assigned.

Preferred Qualifications

• Associate degree or medical billing/coding certification preferred.