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    Hybrid Charge Entry Specialist - Greenville, United States - Crossroads Treatment Center

    Crossroads Treatment Center
    Crossroads Treatment Center Greenville, United States

    3 weeks ago

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    Description
    Crossroads Treatment Centers is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

    Position Overview
    The Charge Entry Specialist is responsible for the accurate and timely posting of all charges to ensure the maximum reimbursement for services performed by the providers. Role is responsible for ensuring the compliance of carrier regulations as it pertains to billable services using departmental procedures. Responsibilities of this role include reviewing, submitting, and reconciliation of claims. Charge Entry Specialist is responsible to ensure clean claims are billed with a 97% accuracy rate.
    Essential Duties and Responsibilities include the following and other duties that are assigned.
    • Responsible for the audit and daily balancing of encounters/ billable services as outlined in department processes for various centers.
    • Responsible for ensuring the accurate insurance demographic entry of patient information to
    enable timely reimbursement.
    • Responsible for the notification and accumulation of trends from Physicians and/or office
    personnel, in the event incomplete or inaccurate data is submitted.
    • Responsible for current knowledge of all CPT codes and modifiers, ICD-10 coding as well as any.
    regulatory compliance issues as it pertains to billing of Physicians services.
    • Responsible for notification to the RCM Manager of any errors and/or Compliance issues noted on
    submitted claims or pre-billed claims.
    • Responsible for the timely, accurate posting of all submitted encounters.
    • Participates in educational activities.
    • Maintains patient confidentiality.
    • Act as team player: collaborate, communicate clearly, and cooperate with Crossroads team members with focus on mission and goals of CTC.
    • Enhances communications by consistently displaying excellent customer service skills in behavior and attitude.
    • Ensures adherence to healthcare law, rules, and regulations.
    • Performs other miscellaneous duties as assigned pertaining to job level.
    Qualification Requirements: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    Position requires constant mental alertness, attention to detail, and high degree of accuracy required in completing all assignments. Strong problem-solving skills. Smart, driven, exceptional work ethic. Must be able to follow oral and written instructions and follow -through on all assignments. Excellent organizational skills. Highly detailed-oriented. Ability to work well in a group setting and independently.

    Education and/or Experience:
    • High school diploma or equivalent.
    • Preferred 2 years medical billing and charge entry - in a hospital or physician office setting.
    • Certified coder preferred.
    • General knowledge of HCPCS and CPT coding.
    • Working knowledge of practice management software.
    • Working knowledge with allowable/contractual amounts, payment terminology, adjustments, identifying patient responsibility.
    Language Skills: Ability to read, analyze, and interpret human service periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public. Excellent communication and interpersonal skills.

    Mathematical Skills: Ability to calculate figures and amounts such as percentages, mean, mode and median ability to draw and interpret graphs.

    Reasoning Ability: Ability to define problems, collect data, establish facts, and draw valid conclusions.

    Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.

    The employee occasionally lifts/carries paperwork, files, office supplies, up to 20 lbs., pushes/pulls exerting up to 5-10 lbs. force, opening doors, file drawers, pushing files in drawers, and kneeling/crouching and/or ability to reach lower file drawers, file stretching to store of retrieve materials. Specific vision abilities required by this job include close vision and the ability to adjust focus. Frequent sitting at desk or computer while typing, completing paperwork, or meeting with patients.

    Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.

    Normal office environment where there is no physical discomfort cue to temperature, dust, noise, and the like. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    Day in the Life of a Charge Entry Specialist
    • Responsible for the audit and daily balancing of encounters/ billable services as outlined in department processes for various centers.
    • Responsible for ensuring the accurate insurance demographic entry of patient information to
    • enable timely reimbursement.
    • Responsible for the notification and accumulation of trends from Physicians and/or office
    • personnel, in the event incomplete or inaccurate data is submitted.
    • Responsible for current knowledge of all CPT codes and modifiers, ICD-10 coding as well as any.
    • regulatory compliance issues as it pertains to billing of Physicians services.
    • Responsible for notification to the RCM Manager of any errors and/or Compliance issues noted on
    • submitted claims or pre-billed claims.
    • Responsible for the timely, accurate posting of all submitted encounters.
    • Participates in educational activities.
    • Maintains patient confidentiality.
    • Act as team player: collaborate, communicate clearly, and cooperate with Crossroads team members with focus on mission and goals of CTC.
    • Enhances communications by consistently displaying excellent customer service skills in behavior and attitude.
    • Ensures adherence to healthcare law, rules, and regulations.
    • Performs other miscellaneous duties as assigned pertaining to job level
    Education and Experience requirements:
    • High school diploma or equivalent.
    • Preferred 2 years medical billing and charge entry - in a hospital or physician office setting.
    • Certified coder preferred.
    • General knowledge of HCPCS and CPT coding.
    • Working knowledge of practice management software.
    • Working knowledge with allowable/contractual amounts, payment terminology, adjustments, identifying patient responsibility.
    Hours, Schedule, and Travel (if applicable)

    Expected hours for this role are 37-40 hours per week. See specific schedule requirements below.
    • 8:00am-5:00pm
    • Hybrid Opportunity - Position will be fully in office during training period (which may vary depending on candidate's ability to meet competency requirements. Once requirements have been met, the employee may transition to working three days in office per week and two days remote.
    Position Benefits
    • Have a daily impact on many lives.
    • Excellent training if you are new to this field.
    • Mileage reimbursement (if applicable) Crossroads matches the current IRS mileage reimbursement rate.
    • Opportunity to save lives every day
    Benefits Package
    • Medical, Dental, and Vision Insurance
    • PTO
    • Variety of 401K options including a match program with no vesture period
    • Annual Continuing Education Allowance (in related field)
    • Life Insurance
    • Short/Long Term Disability
    • Paid maternity/paternity leave
    • Mental Health day
    • Calm subscription for all employees
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