Charge Entry Specialist Resume Samples

Description :

1. Met daily/weekly productivity requirements according to the Company's policies and procedures.
2. Reviewed correspondence pertaining to denied bills and chooses appropriate course of action to resolve issue leading to denial according to the established state-specific guidelines and the Company's policies and procedures.
3. Analyzed and interpreted accounts/cases regarding charges, payments and balances according to the established state-specific guidelines and the Company's policies and procedures.
4. Managed bill/claim follow-up by phone, payer website, clearing house and/or email for aged account balances as necessary.
5. Updated patient/carrier/employer account files as needed according the Company's policies and procedures.
6. Responsible for receiving, verifying and keying all charges for several doctors on a daily basis.
7. Responsible for working error reports daily.

Experience

7-10 Years

Level

Management

Education

Medical Billing

Description :

1. Reconciled data entry batches ensuring balancing of charges and time of service payments.
2. Reviewed encounter forms for accuracy and completeness prior to data entry.
3. Make all charge corrections, edits, and billing errors to batches.
4. Coordinated relationships with other finance departments.
5. Consistently earned highest rating in customer service quality surveys.
6. Data entered all inpatient hospitalist visit charges using the EPIC medical software system.
7. Verified patient insurance and load insurance carrier and information accordingly.

Experience

10+ Years

Level

Senior

Education

Diploma

Description :

1. Assisted patients with insurance billing concerns.
2. Transferred patient payments from account to encounter in ECW and posted charges.
3. Updated all patient demographic and insurance information in the practice management system.
4. Maintained working knowledge of new insurance changes and billing codes.
5. Coded and entered patient procedures, diagnoses and charges for services rendered and supplies used into the practice management system.
6. Reviewed records of past collection efforts against payments received to monitor previously agreed upon arrangements for payment of unpaid balances.
7. Entered financial assistance data into the patient account and applies appropriate discount amounts.

Experience

2-5 Years

Level

Junior

Education

Diploma

Description :

1. Reviewed and interpreted complex patient procedures to accurately assign CPT/HCPCS codes and modifiers.
2. Performed qualitative analysis and evaluate the documentation consistency and adequacy to ensure the CPT codes reflect the care and treatment rendered.
3. Submited queries to physicians when necessary for clarification of incomplete physician documentation for accurate coding and follow up accordingly.
4. Assessed denial correspondence and evaluate for potential coding recommendations.
5. Reviewed reports of unbilled accounts and resolve account issues.
6. Extensived knowledge on Cardiovascular procedures and Dr.Z Diagnostic & Interventional Cardiovascular Coding Reference.
7. Created office charges for all physicians.

Experience

5-7 Years

Level

Executive

Education

Diploma

Description :

1. Responsible for obtaining consultation, progress notes and operative reports from three different facilities for four different specialists.
2. Assured demographic information is correct prior to entering data into the system.
3. Properly scaned all patient documents into correct patient charts.
4. Registered patients, answer telephone calls and forward messages to the designated person.
5. Accurately coded office and hospital consult, progress notes, surgeries, and procedures and enter charges into system.
6. Followed up on claims and make corrections as needed.
7. Kept track of certification and physician order forms brought by home health agencies on Excel spreadsheet.

Experience

5-7 Years

Level

Executive

Education

Information Technology

Description :

1. Entered billing data and submitted claims/bills to insurance companies, private payers, Medicaid and Medicare.
2. Completed data entry and reviewed codes for accuracy prior to submission.
3. Documented and maintained all records as required.
4. Communicated directly with on site clinical staff to ensure accuracy of data.
5. Assisted with end of the month closing of appointed clients.
6. Identified issues and brought any to the attention of the supervisor.
7. Interacted with patients to identify and resolve any billing issues.

Experience

5-7 Years

Level

Executive

Education

Criminal Justice

Description :

1. Entered charges, procedure codes, modifiers and diagnosis codes into the appropriate database as they are submitted by the charge provider.
2. Reviewed documentation to obtain missing data as needed.
3. Reported incorrect/missing demographic/referral information to department manager.
4. Responsible for being up-to-date and knowledgeable of coding and diagnostic procedures as well as remaining current about federal legislative changes that affect outcomes.
5. Gathered, audited, corrected Clinic encounter tickets with respect to proper linkage to CPT and ICD9 codes, correct lever.
6. Performed other work duties and assignments as required.
7. Entered daily charges done by provider for each patient seen.

Experience

2-5 Years

Level

Junior

Education

Certification In Specialist

Description :

1. Received and reviewed charge documents from the clinic.
2. Ensured charge information provided is correct and accurate.
3. Balanced Charge Summary to tickets keyed before updating charges.
4. Kept supervisor apprised of matters regarding charge entry.
5. Entered charges in a timely manner in a high volume setting.
6. Responsible for running specific reports needed for each practice as designated.
7. Entered charges, diagnosis, and other pertinent billing information for assigned facilities.

Experience

2-5 Years

Level

Junior

Education

Diploma

Description :

1. Entered information necessary for insurance claims such as patient, insurance ID, diagnosis and treatment codes and modifiers, and provider information.
2. Ensured claim information is complete and accurate.
3. Answered patient questions on patient responsible portions, co-pays, deductibles, etc.
4. Resolved patient complaints or provides explanations for non-covered services.
5. Researched ICD 9 diagnosis and CPT treatment codes from online services or by using traditional coding references.
6. Verified patient benefits eligibility and coverage through online verification software.
7. Submited insurance claims to clearinghouse or individual insurance companies electronically.

Experience

2-5 Years

Level

Junior

Education

Medical Billing

Description :

1. Responsible for providing office support by answering incoming calls in a professional and courteous manner.
2. Performed all clerical duties and maintain an efficient and highly organized office for Critical Care physicians and residents.
3. Verified insurance benefits for newly enrolled patients.
4. Following up with patients if or when there is a lapse in coverage.
5. Worked directly with the insurance company, the patient, and the healthcare provider, to get a claim processed and ultimately paid.
6. Managed the facility's Account Receivable reports.
7. Reviewed and appealing denied and unpaid claims.

Experience

7-10 Years

Level

Management

Education

Nursing