RCM Charge Entry Specialist

About this role

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Skills you'll use

What you'll do

• Strong customer service skills; answering client calls; prompt return and follow up to all interactions; prompt response to requests for information, both internally and externally
• Timely input of demographic charges and time of service payment information
• Expert ability to add specific data such as modifiers, payer specific information, including authorization criteria, CPT and ICD codes and date of injury (DOI)
• Knowledgeable to append modifiers based on payer specifics, insurance and authorization requirements and referring physicians’ unique attributes
• Understand and interpret the Correct Coding Initiative (CCI) as it applies to charge entry work
• Reduce denials by correct use of modifiers, mapping, and linking codes with services · Responsible for the processing and discrepancy reconciliation and closing of charge batches across all systems
• Successfully and effectively track and follow up on information requests to and from the clients.
• Work with clients and others to facilitate information and resolve charge questions · Achieve goal of a 48-hour turnaround batch time
• Responsible for Claim Edit Reports and Unassigned Money Reports
• Complies and enforces all policies and procedures

Who can apply

• Extensive knowledge with email, search engines, Internet; ability to effectively use payer websites and Laserfiche; basic competence in use of Microsoft products. Preferred experience with MS Access and PowerPoint, Crystal reports and various billing systems, such as Next Gen, Pro, Allscripts, Epic and others.

Perks & benefits

About Veradigm

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