Job description
We’re looking for a Charge Entry Specialist with experience in Pediatrics/Family Care to accurately post charges in NextGen, review documentation, assign correct medical codes, and work with providers and payers to resolve billing issues — all while keeping claims moving and reimbursements on track.
Post medical charges into NextGen software in a timely manner to meet daily and monthly goals.
Reviews and verifies documentation supports diagnoses, procedures, and treatment results.
Identifies diagnostic and procedural information and assigns codes for reimbursements
Ability to navigate around CPT, ICD-10, and HCPCS.
Work with providers to correct the diagnosis or procedure codes so that the claim can be processed.
Identify coding or billing problems from EOBs and work to correct the errors in a timely manner
Maintain in depth knowledge of all payers.
Coordinate with clinics to ensure all outstanding superbills are collected prior to month end close.
Update patient demographic and insurance
Transfer open balances to correct insurance
Work with patients and guarantors to secure payment
Resolves disputed claims by gathering, verifying, and providing additional information
Identify problem accounts and escalate as appropriate.
Write appeals and include supporting documentation
Run appropriate reports and contact insurance companies to resolve unpaid claims
Meet set department metrics and threshold set forth by manager.
Assist with special projects and other job-related duties as needed.
5 years of Professional coding/billing experience
AAPC certification preferred
Experience Medicare, Medicaid and other commercial and private payers.
Demonstrated well-developed interpersonal skills to interact in sensitive and/or complex situation with a variety of people.
Excellent customer service and professionalism.
Maintains patient confidentiality.
Proficient computer skills.
Organized and efficient.
Self-motivated to meet objectives.
Amenable to work during U.S. business working hours.
Permanent Work From Home
Leave Credits
Monetary Allowance
Annual Bonus
Weekly Paychecks
Fixed Weekends Off
Thriving Company Culture with Complete Autonomy
Exclusive Specialized Training Programs
Unlock Your Potential with a Highly Competitive Salary
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Who are we?
BizForce is one of the fastest-growing global outsourcing companies in the world, founded in the US in Tucson, Arizona and is now operational in PH!
Our Commitment to delivering high-quality results for our clients and the only way to do that is ensuring a rewarding, respectful and productive experience for our employees. We hold the same values for both our customers and our employees.
Why work for Bizforce?
Bizforce is a global remote workforce solutions company currently partnering with some of the largest Architectural and Engineering firms in the world. If you are looking to advance your career and improve your skills with an industry leader, we encourage you to apply today! Bizforce was founded with one goal – to deliver dependable high-quality skilled labor and business processes to US-based companies at affordable prices. Bizforce has grown rapidly and allows the best talent in PH to work remotely from home with the latest technology and resources. BizForce is proud to partner with PH to deliver qualified, professional workers, giving our Architects and Engineers the ability to have an unbeatable career and work from home.
