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Charge Entry Specialist - Cardiology (Remote) - Bethlehem Pennsylvania

Company: St. Luke's University Health Network
Location: Bethlehem, Pennsylvania
Posted On: 05/09/2024

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.
The Charge Entry Specialist is responsible for all revenue capture for the practice including, but not limited to, patient registration, coding diagnoses, insurance verification, and charge entry.
JOB DUTIES AND RESPONSIBILITIES:

  • 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
              • 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)
                    • 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.
                      EDUCATION:
                      High School diploma or equivalent required. CPT coding guideline knowledge, ICD-10 knowledge, Close attention to detail, medical terminology helpful. Excellent verbal communication, problem solver, multi-tasking is important.
                      TRAINING AND EXPERIENCE:
                      One year office experience in a similar setting required.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!! More...

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