Charge Entry Specialist

Accountabilities:

As a Charge Entry Specialist, you will manage daily charge entry activities, verify billing documentation, and help ensure that healthcare claims are prepared accurately and efficiently.

• Enter clinical charges, patient demographic information, and insurance details into Practice Management (PM) and Electronic Health Record (EHR) systems with speed and accuracy.

• Review medical encounter documentation, superbills, and charge tickets to confirm completeness, accuracy, and correct application of fee schedules.

• Verify insurance eligibility, coverage benefits, authorizations, and patient financial responsibility when required.

• Identify missing documentation, modifiers, and coding inconsistencies, escalating discrepancies for clarification and resolution.

• Conduct daily charge audits and reconcile charge batches against provider schedules and supporting logs.

• Correct pre-billing edits and resolve clearinghouse rejections before claim generation.

• Coordinate with billing, coding, and clinical teams to address billing questions, missing information, and charge entry delays.

• Maintain accurate records and follow established workflows to meet daily productivity, volume, and turnaround time expectations.

• Protect sensitive patient information and comply with HIPAA requirements and applicable organizational policies.

• Manage assigned work queues independently, proactively organizing tasks and maintaining consistent quality with minimal supervision.

Requirements:

The ideal candidate has hands-on experience in medical charge entry, healthcare billing, or revenue cycle management, with strong attention to detail and the ability to work independently. Candidates should demonstrate accuracy, accountability, and a solid understanding of medical billing processes.

• At least 1–2 years of experience in medical charge entry, medical billing, or revenue cycle operations within a healthcare environment.

• Experience handling charge entry for general outpatient specialties, such as primary care, psychiatry, gastroenterology, dermatology, or similar practices.

• Practical experience with Practice Management and EHR systems, such as Tebra, SimplePractice, Practice Fusion, athenahealth, or eClinicalWorks.

• Excellent numeric and alphanumeric data entry skills, with a strong focus on accuracy and minimal error rates.

• Familiarity with medical terminology, charge capture principles, and healthcare billing workflows.

• Ability to review clinical documentation carefully and identify missing information or inconsistencies before billing.

• Strong organizational skills and the ability to manage daily workloads while meeting productivity and turnaround time targets.

• A high level of accountability, initiative, and independence when managing assigned tasks and work queues.

• Effective communication and collaboration skills for working with billing, coding, and clinical teams.

• Commitment to maintaining patient confidentiality and following healthcare privacy and compliance standards.

• Willingness to complete an initial 90-day probationary period and demonstrate the required productivity, accuracy, and reliability.

Preferred Qualifications:

• Experience in an outsourced Revenue Cycle Management (RCM) environment or a multispecialty billing organization.

• Familiarity with CPT codes, ICD-10 coding, and modifier usage guidelines.

• Experience performing charge audits, resolving billing edits, and reconciling charge batches.

• A proactive, client-focused approach to communication, teamwork, and workload management.

Benefits:

• Fully remote work arrangement.

• Regular employment opportunity.

• Opportunity to contribute to healthcare billing accuracy and revenue cycle efficiency.

• Experience working with established healthcare technologies and billing workflows.