Charge Entry Specialist Resume Example Company Name

CHARGE ENTRY SPECIALIST

Summary

Hardworking and reliable with strong ability in priorities in front of multiple request, analyze problems and consistently follow through on solutions and facilitate positive interpersonal relationship.

Skills

Issue and conflict resolution
Administrative support
Staff supervision
Schedule management
Communications

Practitioner application coordination
Payroll and benefits administration
Employee retention strategies
MS Office
Excel

Experience

Company Name | City, StateCharge Entry Specialist08/2020 - Current

Interpret ICD and CPT codes
Identified terminology and billing procedures
Posses excellent communication, organizational and interpersonal skills
Assign ICD-10 diagnostic codes on all medical records for proper billing and reimbursement.
Submitted claims to insurance companies.
Assigned CPT procedure and evaluation and management (E&M) codes for services to assure appropriate billing and reimbursement.
Monitor and complete patient refunds.
Maintained accounting ledgers by verifying and posting account transactions.

Company Name | City, StateAssistant Clinic Manager/Practice Supervisor06/2020 - Current

Maintained an open door policy for employees and physician to discuss ideas and recommendation and to resolve problems.
Served as liaison between staff and the physicians.
Resolved complaints and communicate resolutions to appropriate parties.
Resolved conflicts promptly among physicians, medical assistant and other healthcare employees to keep workflows on task.
Ensured that staff answers and responds to telephone calls appropriately and reviewed overall productivity with office departments and staff.
Identified when disciplinary action may be necessary and take appropriate steps of employee counseling.
Communicated with patients with compassion, asked appropriate questions and listen carefully to deliver high level of clinical care.
Organized, coordinated and monitored vacation, sick time, attendance records. lunch periods including breaks and staff work schedules for appropriate coverage.
Managed and corrected employees time sheet.
Maintained office supplies inventory by checking stock and ordering new supplies as needed.
Supported build form design in EHR database, deployment and finalization.
Verified record copies before handing each over to check for and remove unnecessary details.
Entered patient insurance, demographic and health information into software.
Handled medical records with HIPPA guidelines.
Facilitated timely court proceedings by processing documents such as subpoenas, summons, appeals and motions.
Handled all delegated tasks, including interface with outside vendors, organized and scheduled physicians depositions, trial appearance, medical record review, IME and AME appointments including sending invoicing for med-legal services to appropriate parties.
Managed physician on call schedule calendar, including in-patient hospital list.
Answered phone calls to provide assistance, information and medical personnel access to maximize office efficiency.
Kept close tabs on physicians documentation expiration dates including updating credentialing profile.
Ensure timely completion for physicians of hospital credentialing applications and insurance credentialing applications including CAQH, Cures and Noridian/Medicare website profiles.
Experienced in front office, controlling patient flow, collecting payments and assisting in delivery of quality healthcare.
Submit payments, processed refunds and updated details in patient accounts.
Contacted and submitted RFA to workers compensation insurance companies to obtain necessary pre-authorizations needed for upcoming tests and procedures.

Company Name | City, StateMedical Records Clerk/Administrative Clerk04/2009 - 09/2012

Pulled patient charts for upcoming appointments.
Scanned incoming documentation.
Verified record copies before handing each over to check for and remove unnecessary details.
Pulled patient records and transferred information to appropriate parties.
Purged outdated files.
Proofread and edit medical reports, medical formatting supplemental reports and addendum reports.
Maintained and submitted all billing to appropriate parties.
Organized and schedule all deposition, AME, IME, QME and Trial appearance.
Answered daily phone calls to schedule appointments and address patient inquiries.
Facilitated timely court proceedings by processing documents such as subpoenas, summons, appeals and motions.

Company Name | City, StateMedical Receptionist05/2008 - 06/2009

Scheduled and confirmed patient appointments for diagnostic, surgical and consultation services.
Pleasantly greeted each patient and offered the desk sheet for easy sign-in.
Greeted callers with enthusiasm, answering all phone calls by second ring.
Informed patients of financial responsibilities prior to rendering services.
Observed strict HIPAA guidelines at all times according to company policy.
Took messages from patients and promptly relayed to appropriate staff.
Entered patient information including insurance, demographic and health history into the system to keep all records up-to-date
Processed patient payments and scanned identification and insurance cards.
Prepared and sent financial billing to support bookkeeping functions.
Pulled patient charts for upcoming appointments.
Prepared charts and documents.

Education and Training

Roosevelt High School | CityHigh School Diploma05/1997

Resume Overview

School Attended

Roosevelt High School

Job Titles Held:

Charge Entry Specialist
Assistant Clinic Manager/Practice Supervisor
Medical Records Clerk/Administrative Clerk
Medical Receptionist

Degrees

High School Diploma

Charge Entry Specialist Resume Example

Resume Score: 80%

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