Charge Entry Specialist

Prelude Fertility•San Antonio, TX

About The Position

Aspire Fertility - San Antonio is focused on providing people with the best options for meeting their family-building goals. Using a proactive approach to fertility care, Inception aims to improve people's chances of having healthy babies when they are ready. The Charge Entry Specialist is responsible for initial submission of insurance claims and self-pay posting according to documented procedures. Includes but is not limited to review of medical documentation to assign CPT and ICD10 codes, data entry of CPT and ICD10 codes for correct creation of medical claim, electronic submission of electronic medical claims, follow up and re-submission of claims rejected by clearing house.

Requirements

High School Diploma or equivalent ; college degree preferred
Medical coding certification, or equivalent experience required.
At least one year of work experience in this field is required.
Excellent written and verbal communication skills.

Responsibilities

Retrieval of documentation - Including operative and progress reports daily from EMR systems and medical transcription database.
Billing Data Entry - Performs correct data entry of CPT and ICD10 codes based on documentation provided by physician/centers for creation of medical claim.
Posting of self-pay charges to patient accounts.
Claim creation - Prepares electronic claim files for submission to clearing house on daily basis.
Clearing House - Monitors accepted/rejected claims at clearing house level. Makes corrections as necessary to reprocess rejected claims in timely manner.
Month End reconciliation - Compares transaction reports with daily schedules to ensure timely billing of all services provided each month.
Maintains accurate and up-to-date account information on system - Follows the system and reference procedures to ensure proper account status at all times.
Ensures proper adjustments are posted, proper financial class is assigned, proper account documentation and billing status is entered.

Benefits

Comprehensive Health Coverage: Medical, dental, and vision plans for our full-time employees, along with complimentary basic life insurance, Employee Assistance Program, and long-term disability insurance. FREE or low-cost employee-only healthcare coverage option is also available.
Family Building Support: Take advantage of our comprehensive fertility benefits, adoption assistance, and surrogacy support to help grow your family.
Paid Parental Leave: Generous maternity, paternity, and partner leave so you can focus on what matters most.
Plenty of Paid Time Off: Start with 18 days of PTO annually and enjoy 11 paid holidays, including one floating holiday to use as you choose!
Retirement Ready: Invest in your future with our 401(k) plan, featuring a competitive company match and full vesting after just 2 years.
Lifestyle Spending Account: Access a company-funded account to reimburse expenses that boost your physical, financial, and emotional well-being.
Health Savings Account (HSA): If eligible, enjoy regular employer contributions to your HSA with every paycheck.
Rewards for Connections: Earn extra money with our Employee Referral Program —your network is invaluable!
Growth Opportunities: We support your career with continuing education reimbursement and dedicated time off for professional development.
Premium Calm Health Subscription: Enjoy a free premium Calm Health app subscription to support your mental wellness.
Emotional & Work-Life Support: Through our Employee Assistance Program (EAP) with SupportLinc, you'll have access to emotional well-being and work-life resources whenever you need them.
Extra Peace of Mind: Explore additional coverage options including Accident, Critical Illness, Hospital Indemnity, and Pet Insurance, to suit your needs.