Charge Entry Specialist

Baltimore Medical System•Baltimore, MD

57d

About The Position

Baltimore Medical System (BMS) is a community-based, nonprofit organization that provides quality primary/outpatient care services in the Greater Baltimore area. BMS is the largest FQHC in Maryland, and we offer a variety of comprehensive primary and behavioral health services through five (5) community health centers and eight (8) school-based health centers. We have a competitive salary based on experience and generous benefits (single and family) for employees working 30 or more hours per week that include medical, dental, vision, 403(b) retirement plan, paid time off, paid holidays, tuition assistance, and more! The Charge Entry Specialist is responsible for processing assigned charges via EHR to EPM importing. Proficient knowledge of ICD-10 CM, CPT-4, and HCPCS coding guidelines is required to scrub all claims for submission of clean claims. The position requires thorough knowledge of the billing process and billing guidelines associated with government payers and all other 3rd party payers. The specialist is responsible for monitoring and following-up on outstanding charges and applying time-of-service payments to charges to ensure accurate patient statements. The specialist will create discrepancy reports using Excel monthly for each provider for each location and is responsible for entering the corrections in EPM and submitting the charges. This position requires the Specialist be aggressive in charge processing while maintaining high accuracy rates. The Specialist will need to work closely with the clinical sites and other billing staff to resolve any billing and coding issues. This position requires the ability to review and comprehend EHR systems in order to respond to inquiries from clinical staff. The Charge Entry specialist will escalate issues to the Coding and Documentation Specialist for resolution. Frequent communication outside of the work group is required to resolve disagreements, reach agreements and clarify issues/processes. Responsibility exists to ensure that internal customers are satisfied with service. Communication with external contacts involves handling complaints, making adjustments, corrections, etc.

Requirements

High School Diploma, GED, or equivalent experience
3 - 5 years charge entry, medical billing/coding
Proficient knowledge of ICD-10 CM, CPT-4, and HCPCS coding guidelines
thorough knowledge of the billing process and billing guidelines associated with government payers and all other 3rd party payers
ability to review and comprehend EHR systems

Responsibilities

processing assigned charges via EHR to EPM importing
scrub all claims for submission of clean claims
monitoring and following-up on outstanding charges
applying time-of-service payments to charges to ensure accurate patient statements
create discrepancy reports using Excel monthly for each provider for each location
entering the corrections in EPM and submitting the charges
work closely with the clinical sites and other billing staff to resolve any billing and coding issues
review and comprehend EHR systems in order to respond to inquiries from clinical staff
escalate issues to the Coding and Documentation Specialist for resolution