Job description : Job Summary
The Charge Entry Specialist is responsible for accurately entering and verifying charges for medical services delivered to patients, ensuring all billing information is complete and submitted in a timely manner. This role plays a critical role in the revenue cycle by helping minimize denials, accelerate reimbursements, and maintain compliance with internal policies and regulatory standards.
Key Responsibilities
- Collect and review documentation (super bills, encounter forms, medical records) for services provided
- Enter charges into billing systems / practice management software accurately, including CPT / HCPCS codes, ICD diagnosis codes, modifiers, units, and service dates
- Verify insurance, patient demographics, and other billing details to ensure correctness before submission
- Match charges with physician orders, documentation and verify that services billed are supported in patient records
- Audit charge entries for completeness and accuracy; correct or query inconsistencies or missing data
- Collaborate with clinical staff to resolve documentation or coding issues
- Monitor billing errors, denial trends, and make recommendations for process improvements
- Ensure charge entry meets compliance requirements (e.g., payer policies, HIPAA, coding guidelines)
- Maintain daily, weekly, monthly productivity and accuracy metrics / reports
- Communicate with insurance companies, if needed, to clarify billing requirements or rectify clean‑up issues
- Assist in training or cross‑training new staff on charge entry procedures and software tools
Qualification
Any graduation
Minimum 3 yrs experience in Charge Entry
Good Communication Skills
Job Types : Full-time,
Work Location : In person