CHARGE ENTRY SPECIALIST

CHARGE ENTRY SPECIALIST RMG

For more than 45 years as a multi-specialty, privately-owned practice, Raleigh Medical Group has realized that there is more to quality health care than state-of-the-art medicine. In today’s complex medical environment, our internists like to keep things simple: we focus and prioritize our patients' needs. We tailor our treatments to provide patients with the finest personalized health care available for each stage of their adult life.  

We understand that when our team members are taken care of, so are our patients. Each day we strive to support our team, give them the resources needed to grow, and create an enjoyable work environment. Our organization continues to grow, and so does our team! We are looking for a Charge Entry Specialist to join our group.  

Does this sound like a fit? Check out the details! 

The Charge Entry Specialist performs necessary activities to accommodate timely, efficient, and accurate processing of patient charges and assists patients with minor billing issues. Responsible for the processing and completion of managed care referrals which include, but not limited to authorizations/pre-certifications, documenting benefits, and patient scheduling activities.

We Offer Our Valued Employees:

• Group Health, Dental, and Vision 
• FSA and HSA options
• Generous Paid Time Off (PTO)
• 401(k) Retirement Plan with matching
• Company provided Short-Term and Long-Term Disability
• Company provided Life Insurance 
• Competitive Salaries
• Annual Employee Appreciation Events

On an average day, you will: 

• Performs tasks in accordance with company/departmental policies, procedures, and protocols.
• Posts medical practitioner and laboratory charges and payments accurately into PM system.
• Verifies if coding is correct and queries the physicians for clarification.
• Reconciles charges and payments against PM audit reports
• Post lab charges into PM System & accurately documents data in the practice management and EHR software.
• Monitors, conveys, and reconciles refund transactions.
• Reports write offs and AR metrics on a monthly basis.
• Maintains professional and courteous demeanor during all telephone calls, internally and externally.
• Attends all departmental and practice/team meetings and coordinates/communicates procedure changes with clinical, front office, and accounts receivable staff.
• Attends customer service training and educational seminars/webinars on and off-site as necessary to maintain proficiency and secure an understanding of updated policies and procedures.
• Provides training to others as requested and cross-trains in all functions of the department as requested.

To qualify for this job you must have:

• High school diploma or equivalent.
• Data entry skills.
• Minimum of 2 years of medical charge entry experience.
• Proficient with ICD-10, CPT, HCPCs, and Billing Modifiers.
• Excellent Verbal and Written Communication Skills.

We’d also love it if you have:

• Experience with Allscripts/Veradigm
• Experience with Microsoft Excel, Word
• Strong Organizing Skills and Excellent Time Management

Physical requirements and work environment:

• Sitting for approximately 90% percent of the day.
• Periods of walking, standing, bending, lifting, and reaching.
• Visual Acuity.
• Fine Motor Skills.

EEO Statement: 

Raleigh Medical Group is an equal opportunity employer committed to workplace diversity. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, age, gender identity, protected veterans status, status as a disabled individual, or any other protected group status or non-job characteristic as directed by law. 

Qualifications

Competencies

• Knowledge of medical terminology, CPT, HCPCs, and ICD codes.
• Customer service concepts and techniques.
• Time management, problem solving, multitasking, organizing, and prioritizing skills.
• Understanding and following written and oral instruction.
• Work independently with little supervision.
• Maintain confidentiality of sensitive information.
• Be depended upon to complete work in a timely, accurate, and thorough manner.
• Communicate effectively verbally both in person and on the phone and in writing, with patients and other individuals inside and outside the practice.
• Exhibit a professional manner in dealing with others and work to maintain constructive working relationships.