Charge Entry Specialist

Regent Surgical•Westchester, IL

1d•Hybrid

About The Position

Under the direction of the Sr. Manager, Revenue Cycle Management, the Charge Entry Specialist is responsible for accurately entering surgical charges into our billing system for multiple ambulatory surgical centers. This role ensures that all procedures, services, and supplies are billed correctly and in compliance with payer guidelines. The ideal candidate has strong attention to detail, a solid understanding of CPT, ICD-10, and HCPCS codes, and the ability to work efficiently in a high-volume environment under the Sr. Manager, Revenue Cycle. Hybrid Position 2 days in office.

Requirements

Two or more (2+) years of experience in charge entry or medical billing, preferably in a surgical or healthcare setting.
Strong knowledge of CPT, ICD-10, and HCPCS coding, with experience in surgical coding preferred.
Experience with HST Pathways and SIS or similar medical billing systems.
High attention to detail with excellent organizational and problem-solving skills.
Understanding of insurance guidelines, claim submission processes, and revenue cycle workflows.
Ability to work both independently and collaboratively in a hybrid work setting.

Nice To Haves

ASC experience
Full cycle experience

Responsibilities

Enter surgical charges, modifiers, and appropriate coding details into billing systems.
Ensure all charges are coded correctly based on clinical documentation and coding guidelines
Validate and correct any missing or inaccurate information before claim submission.
Provide reports and documentation as needed for month-end closing and financial reconciliation.
Communicate effectively with leadership regarding any charge entry issues, trends, and process improvement opportunities.
Stay up to date on healthcare billing regulations and compliance requirements.
Maintain compliance with federal, state, and payer regulations, including Medicare, Medicaid, and commercial insurance guidelines.
Review and verify documentation to support coding and billing accuracy.
Identify and report trends in coding errors, denials, or missing information.
Ensure billing practices adhere to industry standards and guidelines.
Provide regular communication and feedback to Manager.
Speak to and approach others in a friendly and compassionate way, open to other employee suggestions.
Complete assigned tasks in a timely manner.
Demonstrate the ability to effectively communicate with others, including physician offices, insurance companies, patients and others.
Demonstrate proactive approach to problem identification and solutions.
Ability to handle multiple assignments or pieces of work at one time; capable of working within a stressful environment under consistent deadlines, pressures, and interruptions.
Demonstrate the ability to cope with and manage change.
Demonstrate an exceptional grasp of required skills including detail-oriented, commitment to accuracy, able to anticipate needs before they become critical.
Self-motivated to keep self-current and relevant in skills and competency.
Take prompt and decisive action to produce service levels beyond what is minimally required in the job; acting without prompting; regularly volunteer individual energy to a situation.
Achieve performance excellence through skills of organization; able to create successful workflow processes; reliable in all areas of work.
Seek opportunities to accept ideas and help from co-workers to accomplish work goals.
Assume all other duties and responsibilities; demonstrate willingness to identify and/or assume activities relative to the developmental needs of the reception.
Perform other duties as assigned.