Demographics Charge Entry Representative

• This is a remote position which requires residence in Arizona, Texas, Tennessee, New Hampshire or North Carolina.

Company Overview

National Partners in Healthcare (NPH) is a progressive healthcare company specializing in anesthesiology. We partner with physicians and health systems to deliver high quality care, aligning synergies and best practices to achieve superior outcomes. As a leader in the industry, we believe in developing a foundation of trust, transparency, and excellence in everything we do. The success of our company has created excellent career advancement opportunities that support a healthy work/life balance.

Position Summary:

The Charge Entry Specialist performs data entry of anesthesia demographics and charges into the patient accounting system from charge tickets while verifying supporting documentation including anesthesia records.

Essential Duties and Responsibilities:

• Create charge batches from paperwork received for provider cases.
• Enter patient demographics. Run eligibility and insurance verification checks and make necessary corrections.
• Review CPT, ICD-10, ASA and HCPCS coding on charge tickets.
• Review anesthesia records for supporting documentation for charge tickets.
• Enter charge data on each patient into the patient accounting system with high level of accuracy. Expected performance is to enter 150+ charge tickets per day by 90 days of employment.
• Review Batch Error reports for errors/rejections and make necessary corrections.
• Assist the Collections Department with corrections and billing issues as needed.
• Run daily concurrency reports and audit for compliance.
• Suspend billing on any incomplete or inaccurate charge tickets and seek input from the provider and/or the supervisor of the department.
• Identify cosmetic and/or prepaid cases and notify the payment-posting department of charges on those accounts.
• Audit billing work as requested.
• File charge tickets in file cabinets.
• Maintains strictest confidentiality.
• Performs other duties as assigned.
• Adhere to all company policies and procedures.
• Adherence to and compliance with information systems security is everyone's responsibility. It is the responsibility of every computer user to: Know and follow Information Systems security policies and procedures. Attend Information Systems security training, when offered. Report information systems security problems.
• Perform other duties as assigned.

Education/Licensing/Certification:

• High School graduate or equivalent.

Experience:

• Minimum of two years' experience in a healthcare business office is required.
• Prefer billing/coding experience in a healthcare organization.

Knowledge and Skills:

• Knowledge of anesthesia billing specialty
• Knowledge of CPT, ICD-10, ASA and HCPCS coding.
• Knowledge of Medicare, Medicaid and Workers Compensation rules and regulations.
• Skill in keyboarding/data entry.
• Knowledge of organization policies, procedures and systems.
• Skill in computer applications including MS Word, MS Excel.
• Skill in verbal and written communication.
• Skill in gathering and reporting information.
• Ability to work effectively with staff, physicians and external customers.
• Must have a pleasant disposition and be a team player.
• Ability to work independently with limited supervision.

Our ideal candidate will support our Company Core Values.

Core Values

Driver for Results - Our goal is not only to meet expectations but to consistently exceed them. We anticipate and take action to exceed customer needs, and we define and evaluate quality standards.

Continuous Improvement- We seek opportunities to improve our services, streamline our work processes and make our customers more satisfied. We generate ideas that go beyond the status quo and recognize the need for new or modified approaches. We act as a catalyst for change.

Teamwork - We have a commitment to common goals based on open and honest communication while showing concern, support and respect for each other. We embrace everyone's unique talents and honor diverse life and work styles. We operate in a spirit of cooperation and value human dignity. To be successful, NPH must be a rewarding place to work. We provide opportunity and encouragement to help our people reach their potential.

Customer Service - At NPH colleagues, patients, shareholders and providers are all important customers. We recognize that our customers are the reason for our success, and we are committed to listening to and responding positively to their needs and concerns.

Integrity - We strive to do what is right and do what we say we will do. We earn the trust of others through consistency of actions and transparency with stated values and commitments. We take responsibility for our actions and have a strong personal sense of what is right and wrong.

The posted pay range reflects a general guideline for this position and will be adjusted based on current market considerations. Final compensation offer may vary and will be determined by factors such as experience, skills, internal equity, and overall qualifications.

• This is a remote position which requires residence in Arizona, Texas, Tennessee, New Hampshire or North Carolina.