Specialist - Charge Entry

Optima MedicalScottsdale, Arizona, United States, 85257

16 days ago

Job description

About Optima Medical

Optima Medical is an Arizona-based medical group consisting of 23 locations and 110+ medical providers, who care for more than 120,000 patients statewide. Our mission is to improve the quality of life throughout Arizona by helping communities “Live Better, Live Longer” through personalized healthcare, with a focus on preventing the nation’s top leading causes of death. We go beyond primary care with a full spectrum of services including cardiovascular health services, behavioral health, allergy testing and immunotherapy, in-house lab testing, imaging, chronic disease management and other specialty health services. We aspire to aid the growth of our company by welcoming the most qualified and deserving candidates aboard. We are seeking a Human Resources Manager to join our growing team!

Medical Billing Charge Entry Specialist

Our Charge Entry department is responsible for entering, editing, reconciling & submitting all primary & secondary claims. As a part of our growing PCP group, you’ll play a crucial role in ensuring accurate & timely processing of charges / claims, helping us deliver outstanding care to our patients while maintaining a healthy financial workflow.

Job Responsibilities :

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 ie : ICD to CPT mapping, updating modifiers, CPT crosswalks, and 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

Job 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

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Charge Entry Specialist • Scottsdale, Arizona, United States, 85257