Demographics Representative/Charge Entry

Description

Company Overview

National Partners in Healthcare (NPH) is a progressive healthcare company specializing in anesthesiology. We partner with physicians and health systems to deliver high quality care, aligning synergies and best practices to achieve superior outcomes. As a leader in the industry, we believe in developing a foundation of trust, transparency, and excellence in everything we do. The success of our company has created excellent career advancement opportunities that support a healthy work/life balance.

Position Summary:

The Charge Entry Specialist performs data entry of anesthesia demographics and charges into the patient accounting system from charge tickets while verifying supporting documentation including anesthesia records.

Essential Duties and Responsibilities:

• Create charge batches from paperwork received for provider cases.
• Enter patient demographics. Run eligibility and insurance verification checks and make necessary corrections.
• Review CPT, ICD-10, ASA and HCPCS coding on charge tickets.
• Review anesthesia records for supporting documentation for charge tickets.
• Enter charge data on each patient into the patient accounting system with high level of accuracy. Expected performance is to enter 150+ charge tickets per day by 90 days of employment.
• Review Batch Error reports for errors/rejections and make necessary corrections.
• Assist the Collections Department with corrections and billing issues as needed.
• Run daily concurrency reports and audit for compliance.
• Suspend billing on any incomplete or inaccurate charge tickets and seek input from the provider and/or the supervisor of the department.
• Identify cosmetic and/or prepaid cases and notify the payment-posting department of charges on those accounts.
• Audit billing work as requested.
• File charge tickets in file cabinets.
• Maintains strictest confidentiality.
• Performs other duties as assigned.
• Adhere to all company policies and procedures.
• Adherence to and compliance with information systems security is everyone's responsibility. It is the responsibility of every computer user to: Know and follow Information Systems security policies and procedures. Attend Information Systems security training, when offered. Report information systems security problems.

Non-Essential Duties and Responsibilities:

• Perform other duties as assigned.

Qualifications

Education/Licensing/Certification:

• High School graduate or equivalent.

Experience:

• Minimum of two years experience in a healthcare business office is required.
• Prefer billing/coding experience in a healthcare organization.

Knowledge and Skills:

• Knowledge of anesthesia billing specialty
• Knowledge of CPT, ICD-10, ASA and HCPCS coding.
• Knowledge of Medicare, Medicaid and Workers Compensation rules and regulations.
• Skill in keyboarding/data entry.
• Knowledge of organization policies, procedures and systems.
• Skill in computer applications including MS Word, MS Excel.
• Skill in verbal and written communication.
• Skill in gathering and reporting information.
• Ability to work effectively with staff, physicians and external customers.
• Must have a pleasant disposition and be a team player.
• Ability to work independently with limited supervision.