Charge Entry Executive Insurer Billing Procedure
Job Description
The main "Frontline Claim Generation & Billing Data Specialist" for our medical billing and revenue cycle operations is the Charge Entry Executive Revenue Cycle Management (RCM), Medical Billing, Coding Validation & Claim Creation. Your main responsibility is to record, validate, and input medical charges, diagnostic codes, procedural codes, and patient demographic information into billing systems in order to produce clean insurance claims, while medical coders extract CPT/ICD-10 codes from clinical charts and payment posting specialists reconcile insurance payments. As the "Guardian of Clean Claim Rates (CCR), Charge Capture Accuracy, Timely Filing Compliance, Fee Schedule Integrity, and Zero Billing Errors," you have direct responsibility for making sure each clinical service is appropriately converted into a billable claim.

Responsibilities
Charge Capture & Entry Execution: Using superbills, charge tickets, or $EMRs$, process and input high-volume medical charges, office visits, surgical operations, diagnostic testing, and hospital trips into practice management software.
Coding and Modifier Validation: Verify that procedure modifiers and diagnostic linking rules are applied correctly by cross-referencing entered CPT, HCPCS, and ICD-10 codes with clinical evidence.
Verify patient demographics, insurance policy numbers, copay/deductible regulations, provider NPI numbers, and previous authorisation codes before filing a claim.
Clearinghouse Scrubbing & Error Resolution: Examine claim scrubber rejections and pre-billing clearinghouse revisions; find the underlying reasons of charge issues, fix any missing information, and submit clean batches again.
Timely Filing & Lag Time Optimisation: Make sure all claims are recorded and billed well within payer timely filing restrictions by keeping an eye on charge lag times.

Skills:
Medical Billing & Charge Creation Expertise: Thorough knowledge of charge input procedures, claim forms, clearinghouse edit resolution, and US healthcare billing practices.
CPT, ICD-10 & Modifier Application Literacy: Good working understanding of global surgical packages, CCI edits, CPT, HCPCS, and ICD-10 coding systems, as well as modifier usage guidelines.
Data input Speed and Financial Precision: 100% data input precision across large batches is ensured by a combination of excellent attention to detail and high numeric/alphanumeric typing speed (10-key numeric keypad skill).
Practice Management & EMR Software Proficiency: Practical knowledge of top RCM, EMR, and Practice Management systems (eClinicalWorks, AdvancedMD, Kareo, NextGen, Epic, AthenaHealth).

We invite you to apply and explore this exciting opportunity!
Warm Regards,
HR - Maria
88708 33430
infohrmaria04@gmail.com