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Role Description

We are seeking a Charge Entry Specialist to join our Revenue Cycle team and support the accurate and timely processing of patient claims across our expanding network of primary care clinics.

• Oversee daily data entry team and complete reconciliation of charge batches entered
• Maintain organized records of charges and batches, both entered and pending entry
• Review and assist with performing claim edits, including:
  • ICD to CPT mapping
  • Updating modifiers
  • CPT crosswalks
  • Claim submissions
• Review medical records and documentation for coding accuracy and completeness; review for errors & inconsistencies ensuring all billing is documented, captured, and submitted to insurance by timely filing limits
• Work closely with office managers, coders, and other billing members to resolve claim discrepancies
• Review and update patient demographics and insurance information as needed based on eligibility
• Ensure compliance with current billing requirements and internal policies

Qualifications

• High School Diploma or GED required
• A minimum of 2 years' experience in medical billing, preferably in a primary care setting
• Experience with electronic health records (EHR, eClinicalWorks preferred!)
• Knowledge of CPT, ICD-10, HCPCS & medical terminology
• Excellent computer skills, detail oriented, and ability to multitask effectively
• Ability to work independently and as part of a team in a fast-paced environment

Benefits

• Supportive and positive team culture
• Leadership and mentoring to support career growth
• Full benefits package (Medical / Dental / Vision / 401k / Paid Holidays)
• Fun team events and appreciation initiatives
• Commitment to internal promotions and professional development