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Charge Entry - Physician billing

Charge Entry - Physician billing

ConfidentialBengaluru / Bangalore
30+ days ago
Job description

Black And White Business Solutions is seeking a skilled Charge Entry specialist with expertise in Physician Billing . This role requires strong experience in multi-specialty charge entry , proficiency in E&M coding , and a solid understanding of insurance verification and billing workflows . The ideal candidate will possess excellent attention to detail and strong communication skills, ensuring accurate and compliant billing processes for our clients.

Must Have Skills

  • Experience in physician billing and multi-specialty charge entry : Proven hands-on experience in accurately entering charges for physicians across various medical specialties.
  • Proficiency in E&M coding and familiarity with CPT / ICD-10 / HCPCS codes : Strong understanding and practical application of Evaluation and Management (E&M) coding, along with knowledge of CPT (Current Procedural Terminology), ICD-10 (International Classification of Diseases, 10th Revision), and HCPCS (Healthcare Common Procedure Coding System) codes.
  • Strong understanding of insurance verification and billing workflows : In-depth knowledge of processes involved in verifying patient insurance eligibility, benefits, and the end-to-end billing cycle.
  • Experience using billing and EMR software (Athena, Kareo, eClinicalWorks, NextGen, etc.) : Practical experience with various commonly used medical billing and Electronic Medical Record (EMR) software systems.
  • Excellent attention to detail and data accuracy : Meticulous approach to reviewing documentation and entering data, ensuring high levels of precision to minimize errors.
  • Strong communication skills (verbal and written) : Ability to communicate clearly and professionally with colleagues, physicians, and other stakeholders regarding billing inquiries and documentation needs.

Good to Have Skills

  • Knowledge and expertise in physician billing and multi-specialty charge entry : Comprehensive understanding and advanced proficiency in the intricacies of physician billing and charge entry across diverse medical specialties.
  • Roles and Responsibilities

  • Accurately enter physician charges into the billing system based on clinical documentation, ensuring all services rendered are captured.
  • Apply correct E&M (Evaluation and Management) codes, CPT, ICD-10, and modifiers in strict compliance with payer rules and official coding guidelines.
  • Process charge entries across multiple specialties , including but not limited to internal medicine, cardiology, orthopedics, etc., demonstrating versatility.
  • Validate provider documentation to ensure it is complete, supports the services billed, and adheres to compliance standards.
  • Verify insurance coverage and eligibility prior to billing to prevent denials, confirming patient benefits and responsibilities.
  • Confirm plan details, policy status, coordination of benefits (COB), and pre-authorization requirements , ensuring all necessary approvals are in place.
  • Document verified insurance information in the system accurately and comprehensively for future reference and audit trails.
  • Review and enter accurate patient information , including name, date of birth, address, insurance ID, and guarantor details, to maintain clean patient demographics.
  • Maintain HIPAA compliance and ensure completeness of registration data to avoid front-end denials , protecting patient privacy and ensuring data quality.
  • Follow payer-specific guidelines meticulously for E&M coding and charge processing to maximize clean claim submission rates.
  • Coordinate with coding teams or physicians for clarification on incomplete or ambiguous medical records, facilitating accurate charge capture.
  • Report any issues related to documentation or insurance to the team lead / supervisor promptly, ensuring quick resolution and process improvement.
  • Qualification

  • Any Graduate and Undergraduate
  • CTC Range

  • 3 to 4.8 LPA (Lakhs Per Annum)
  • Notice Period

  • Immediate
  • Interview Mode

  • Virtual
  • Contact : Chaitanya HR Analyst- TA-Delivery Black and White Business Solutions Pvt Ltd Bangalore, Karnataka, INDIA. Direct Number : 080-67432445 | WhatsApp @ 8431371654 Email : [HIDDEN TEXT] | Website : www.blackwhite.in

    Skills Required

    physician billing, e m coding , insurance background , Accuracy, Communication Skills

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    Billing • Bengaluru / Bangalore

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