The Charge Entry Specialist is responsible for the data entry process and daily/weekly reconciliation of patient treatments, generating reports, maintain patient treatments, maintaining spreadsheets and reviewing paperwork received from clinics for accuracy. This position involves communicating with our facilities on a regular basis and meeting important deadlines. Requires detail focus, accuracy, speed, and timeliness. Proficiency in MS Office, including Excel and Word is necessary.

In addition, you will be responsible for contributing to the growth and success of HealthTexas while upholding our Mission, Vision and Values.

Culture and Values Expectations

At HealthTexas, we believe that our workplace culture is the cornerstone of our success. We are committed to fostering an inclusive, collaborative, and innovative environment where every Associate feels valued, empowered and motivated to reach their full potential. Our culture is the driving force behind our mission "to deliver quality and compassionate care with outstanding service, every patient, every time". As a Charge Entry Specialist at HealthTexas we expect you to embody and promote our Values and defined behavioral expectations.

Integrity: Do the right thing, the right way, every time.
Be honest and uphold commitments and responsibilities, earn the trust and respect of the team and those we serve, and maintain privacy and confidentiality.
Compassion: Treat everyone with respect and dignity.
Foster an environment of inclusivity and well-being, practice patience and empathy, and assume positive intent.
Synergy: Collaborate to improve outcomes.
Invite and explore new opportunities, promote effective communication and teamwork, take pride in yourself, your work and HealthTexas.
Stewardship: Use resources responsibly and efficiently.
Implement effective strategies to attain goals, achieve maximum productivity and results, and seek continuous knowledge and improvement.

Essential Job Duties & Responsibilities

Ensure the implementation and execution of accurate and timely charge-capture methodologies for the assigned work unit. Standardize procedures across relevant areas and facilities, reconciling charges against source documents to guarantee completeness and accuracy. Monitor compliance with internal standards and procedures, reporting any non-compliance issues to the appropriate authority.
Identify, research, and analyze billing errors and omissions, collaborating with relevant staff or team members. Ensure that revisions or corrections are promptly sent to Finance and integrated into processing systems. Address routine system interface issues and refer non-routine matters to the appropriate authority.
Provide comprehensive training to staff involved in billing data entry and charge-capture/reconciliation activities. Ensure that procedures are clearly understood and that charges are entered in a timely, accurate, and appropriately documented manner.
Recommend categories for inclusion in charge capture based on clinical applications and coding guidelines. Develop and maintain up-to-date charge-capture methodologies and tools to enhance efficiency and accuracy.
Prepare reports and provide departmental summary information to the Revenue Cycle team responsible for ensuring appropriate charge capture, billing, and reimbursement across the organization. Contribute to overall compliance efforts.
Assist inter-departmental teams in troubleshooting accounts held in accounts receivable due to charging or documentation discrepancies. Facilitate communication with care providers regarding documentation opportunities and requirements to improve billing accuracy and efficiency.
Other duties as assigned.

Experience

Completion of a recognized course of study for health information practitioners or coding specialists or Medical Receptionists
Two years recent related work experience in a healthcare environment with significant exposure to healthcare coding/billing/reimbursement.
Two years coding experience in a family practice health information management department is preferred
Clinical background required
Certification by the American Health Information Management Association is preferred

Education

High School Diploma or GED

Knowledge, Skills & Abilities

Work Hours, Travel Requirements

Monday - Friday, 8:00 a.m. - 5:00 p.m., and as needed to complete projects.
Travel to medical offices may be necessary for the purpose of providing benefit education.

Working Conditions & Physical Requirements

This job operates in an office setting. This role routinely uses standard office equipment such as computers, phones, photocopiers, scanners, filing cabinets and fax machines.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. This is largely a sedentary role; however, some filing is required. This would require the ability to lift files, open filing cabinets and bend or stand on a stool as necessary. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.

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HealthTexas Primary Care Doctors jobs

Charge Entry Specialist