Charge Entry Specialist

Job Details

St. Luke’s is proud of the skills, experience and compassion of its employees. The employees of St. Luke’s are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient’s ability to pay for health care.

Job Description

JOB TITLE:              Charge Entry Specialist

DEPARTMENT:      St. Luke’s Cancer Care Associates

REPORTS:                Practice Supervisor

Job Summary

This individual is responsible for all revenue capture for the practice including, but not limited to, patient registration, coding diagnoses, insurance verification, charge entry.

Work Performed

JOB DUTIES AND RESPONSIBILITIES:

ESSENTIAL FUNCTIONS:

Perform charge entry preparation daily for all patients which includes verifying patient demographics and registering patients, verifying insurances and coding billed diagnoses

Identify patients with diagnoses consistent with the practice’s PQRI requirements and conduct appropriate research to appropriately report cases (includes reviewing reports, looking at test and/or lab results etc…)

Maintain a high level of competence related to the policies of various insurance companies

Perform a daily review of patient status changes and conduct appropriate follow-up with the CBO to ensure accurate billing

Assist in providing ongoing education to physicians on coding and billing

Maintain a high level of competence with Physician Billing computer system

Answers the telephone within three rings, prioritize calls and perform appropriate needs.

Attend departmental meetings and participate in resolution of problems as they are identified

Continually analyzes current procedures and makes recommendations for process improvement

Coordinates, as necessary, with the Central Billing Office (CBO)

Receive, sort, and send mail as needed.

Maintains confidentiality of all materials handled within the Network/Entity as well as the proper release of information.

Complies with Network and Departmental policies regarding issues of employee, patient and environmental safety and follows appropriate reporting requirements.

Demonstrates/models the Network’s Service Excellence Standards of Performance in interactions with all customers (internal and external).

Demonstrates Performance Improvement in the following areas as appropriate: Clinical Care/Outcomes, Customer/Service Improvement, Operational System/Process and Safety.

Demonstrates financial responsibility and accountability through the effective and efficient use of resources in daily procedures, processes and practices.

Complies with Network and Departmental policies regarding attendance and dress code.

OTHER FUNCTIONS:

Other duties as assigned

PHYSICAL AND SENSORY REQUIREMENTS:

      Requires sitting up to eight hours per day. Continually use fingers for typing, writing and handling documents. Routinely use upper extremities; occasionally to lift items up to 10 pounds. Stoop, bend and reach above shoulder level regularly. Hearing required to be sharp and alert. General, near and peripheral vision are all required.

POTENIAL ON-THE-JOB RISKS:        

      None.

SPECIFIC PROTECTIVE EQUIPMENT AVAILABLE:

      None.

MOST COMPLEX DUTY:

      Preparing, coding and entry of physician charges.

SUPERVISION (RECEIVED BY AND/OR GIVEN TO):

      Receives direct supervision from the Director, Hospitalist Service.

COMMUNICATION:

Communicates regularly with patients, general public, physicians, office staff, hospital colleagues and managers.

ADDITIONAL REQUIREMENTS:

      Good interpersonal and telephone skills.

EDUCATION:

      High School Graduate or Equivalent

TRAINING AND EXPERIENCE:

      One year office experience in a similar setting.

WORK SCHEDULE:

      Days and additional shifts as needed.

Please complete your application using your full legal name and current home address.  Be sure to include employment history for the past seven (7) years, including your present employer.  Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable.  It is highly recommended that you create a profile at the conclusion of submitting your first application.  Thank you for your interest in St. Luke’s!