What are the responsibilities and job description for the Charge Entry Specialist position at Metrolina Nephrology Associates?
Description
Metrolina Nephrology Associates is the region’s most recognized and experienced nephrology group. The practice has been on the forefront of the treatment and management of kidney disease for more than 40 years. Composed of 40 Nephrologists and 40 Nephrology Advanced Practitioners, our practice serves patients from eight convenient locations. Our extensive network of providers and offices allow our practice to deliver care in an atmosphere that is personal, patient centered, and compassionate.
It is our mission to provide the most comprehensive nephrology services available with a personal commitment to enhance our patients’ quality of life through professional activity and dedication. By providing service excellence through highly specialized physicians and staff, we commit to serving the individual needs and circumstances of patients.
Metrolina has competitive wages and benefits and a generous paid time off package beginning in your first year of employment: 4 weeks (accrued) paid time off PLUS 7 additional paid holidays! We offer two medical plans (high deductible w/ HSA & POS), company paid employee dental, vision, company paid basic life insurance & ad&d, voluntary life, critical illness, accident, pet insurance and more! We also have a generous 401k plan beginning after 90 days of employment with company match and two entry points (Jan & July). Voted Best Places to Work in Healthcare by Modern Healthcare 3 years running.
This is a non-exempt position responsible for charge entry, payment allocation, and obtaining authorizations. Timely and accurate posting of daily office and lab charge imports as well as applying patient payments into Allscripts.
Duties include, but are not limited to:
- Imports office charges from EMR into the Practice management system
- Reviews office claims for proper cpt and diagnosis coding
- Reviews all CKD stages and anemia diagnosis codes for all injections (EPO and Iron)
- Communicates with providers in regards to missing charges
- Re-keys any incorrect charges
- Imports lab charges into the practice management system
- Reviews lab claims for proper cpt and diagnosis coding daily
- Adds new patients to the practice management
- Updates all inaccurate address and insurance information
- Posts Home Dialysis charges
- Updates patient demographics in the practice management system.
- Answers patient billing calls.
- Researches account to provide the best possible outcome for the patient and CEMM.
- Works with insurance companies to provide missing documentation to ensure payment of claims.
- Maintains excellent rapport with insurance companies and representatives to assist with claims processing
Requirements
Education: High School Diploma or equivalent.
Experience: Minimum three to five years of experience in a business office setting.
Technical Skills: Knowledge of Allscripts PM and EMR, Navicure, payer websites, obtaining authorizations, ability to research patient accounts.
