The purpose of this position is to support PHRS's mission, vision, core values and customer service philosophy.

Job Summary: We are seeking a detail-oriented and highly organized Charge Entry Specialist to join our billing team. The ideal candidate will be responsible for reviewing and entering patient charges into the practice management software. This role plays a key part in ensuring accurate and timely billing for medical services rendered, supporting the revenue cycle, and collaborating with healthcare providers and other departments to resolve billing issues.

Key Responsibilities:

• Accurately enter patient charges, services, and procedures into practice management software.
• Review patient records to verify correct coding and appropriate documentation for services provided.
• Ensure charges are consistent with payer contracts, guidelines, and regulations.
• Communicate with healthcare providers or manager(s)/supervisor(s) to resolve discrepancies in billing, including missing documentation or incorrect codes.
• Verify the accuracy of patient insurance information, including payer type, coverage, and eligibility.
• Work with the billing and coding teams to ensure all charge entries are properly supported and compliant with healthcare regulations.
• Monitor accounts for potential billing errors or inconsistencies and work with relevant departments to correct them.
• Respond to inquiries from patients, insurance companies, or healthcare providers regarding charge details.
• Assist with special projects or audits as assigned.
• Stay current with industry updates, changes in insurance policies, coding procedures, and billing regulations.

Qualifications:

• High school diploma or equivalent required; Associate's degree in healthcare, business administration, or a related field preferred.
• Proven experience as a Medical Charge Entry Specialist, Medical Biller, or in a similar healthcare administrative role.
• Knowledge of medical terminology, healthcare insurance, and coding systems (CPT, ICD-10, HCPCS).
• Familiarity with healthcare billing software and electronic medical record (EMR) systems.
• Strong attention to detail and accuracy in data entry.
• Ability to manage multiple tasks and meet deadlines in a fast-paced environment.
• Excellent communication skills, both written and verbal.
• Problem-solving abilities and a customer-service-oriented approach.

Preferred Skills:

• Certification in medical billing or coding (e.g., CPC, CCS, or similar).
• Experience with payer-specific billing requirements (e.g., Medicare, Medicaid, private insurers).
• Knowledge of HIPAA regulations and patient confidentiality standards.
• MS Office Skills

Working Conditions:

• Full-time position, remote work.
• Occasional overtime may be required based on workload.
• Collaborative work environment within a remote RCM company.

Pinnacle Healthcare Consulting is an Equal Opportunity Employer. Applicants will not be discriminated against because of race, color, creed, sex, sexual orientation, gender identity or expression, age, religion, national origin, citizenship status, disability, ancestry, marital status, veteran status, medical condition, or any protected category prohibited by local, state, or federal laws.