Charge Entry - Physician billing

Charge Entry

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: