Charge Entry Specialist

Axia Women's Health; Phoenixville (Chester County); On-site; USD 42,000 - 68,000; Full time

Benefits offered by this job

401(k) plan

Generous PTO

Medical insurance plans

Life insurance

Disability benefits

Job summary

Axia Women's Health is seeking a Charge Entry Specialist to support our practices in billing and revenue cycle management. You will ensure accurate coding, gather provider information from hospitals and clinics, and generate charges for various services.

You will submit clean claims, resolve denials with outside vendors, and monitor performance metrics while helping educate staff on payor rules and Axia policies.

Qualifications

• Specialized knowledge of Medical Billing, Medical Coding, HIPAA, Insurance Payors, and Federal & State rules and regulations.

Responsibilities

• Review encounters to ensure billing codes are accurate and documents complete before submitting claims.
• Gather information from outside entities related to services rendered by Axia providers.
• Enter charges for procedures and scans, including obstetrical deliveries and surgeries.
• Submit clean claims to Axia RCM for payor submission.
• Rework denials and rejections with external vendors as needed.
• Report performance using established reporting.
• Reconcile submitted claims against appointments to ensure proper documentation and reimbursement.
• Research payor rules and educate Axia staff accordingly.
• Address payor denials and implement policy changes to reduce further denials.
• Train new billing staff on Axia billing policies and procedures.
• Provide excellent customer service via email/phone and follow up on outstanding issues.

Skills

Medical Billing

Medical Coding

HIPAA

Insurance Payors

Regulatory Rules

Education

High school diploma or equivalent

Some college preferred

Medical Billing certification preferred

Tools

eClinicalWorks

Job description

Description

Axia Women's Health is the nation’s largest community-based, integrated women's health network in the country serving women throughout New Jersey, Pennsylvania, Indiana, and Kentucky. At its core, Axia Women’s Health is a community of over 400 providers across nearly 150 locations committed to providing a more caring, connected, and progressive health care experience for women. Its rapidly growing network spans OB/GYN care, breast health, high-risk pregnancy care, urogynecology care, behavioral health, and fertility. Together, Axia Women's Health puts women first by delivering the personalized care needed for women to lead healthier, happier lives. Axia Women’s Health has been recognized as the #1 Physician Practice for Women’s Health by Castle Connolly and certified as a Great Place to Work for five consecutive years. Learn more at www.axiawh.com.

Job Details

Axia Women's Health is the nation’s largest community-based, integrated women's health network in the country serving women throughout New Jersey, Pennsylvania, Indiana, and Kentucky. At its core, Axia Women’s Health is a community of over 400 providers across nearly 150 locations committed to providing a more caring, connected, and progressive health care experience for women. Its rapidly growing network spans OB/GYN care, breast health, high-risk pregnancy care, urogynecology care, behavioral health, and fertility. Together, Axia Women's Health puts women first by delivering the personalized care needed for women to lead healthier, happier lives. Axia Women’s Health has been recognized as the #1 Physician Practice for Women’s Health by Castle Connolly and certified as a Great Place to Work for five consecutive years. Learn more at www.axiawh.com.

The Charge Entry Specialist provides business assistance to Axia Women’s Health practices so that our practitioners can focus on providing compassionate and comprehensive health care for women at every stage of life. This role is a professional people person, whose persistent nature helps close claims and generates revenue for the organization. The Charge Entry Specialist is an engaging and confident member of our community who embodies our colleague-oriented, high-performance culture, which emphasizes empowerment, quality, productivity, goal attainment, and ongoing development of a superior workforce.

• Reviews encounters created by providers to ensure the accuracy and completeness of billing codes and documents prior to submitting claims for reimbursement by insurance payors.
• Gathers information from outside entities related to services rendered by Axia providers in hospitals, ambulatory surgical centers, and other ancillary locations.
• Scans documents and enters charges for out-of-office and in-office ancillary care, including but not limited to obstetrical deliveries, surgeries, and diagnostic procedures.
• Submits clean claims to Axia RCM for submission to insurance payors.
• Reworks or augments claims as required by clearinghouse or insurance payor rejections and denials via outside vendor.
• Reports performance using established reporting.
• Reconciles claims submitted against appointments booked to ensure that all services rendered by Axia providers are documented and submitted for reimbursement.
• Researches, documents, and communicates insurance payor rules and requirements related to claims and reimbursement to Axia providers and staff.
• Researches and understands insurance payor denials and rejections and works with Axia providers, and staff to implement/revise policies and procedures to resolve the root cause of denials and rejections.
• Trains new Billing employees and current coworkers on Axia billing policies and procedures.
• Provides excellent customer service by promptly responding to emails, answering telephones, and following up on any outstanding concerns in a timely manner.
• Embraces a team-work environment and helps with various projects from colleagues and supervisor.

Skills

• Specialized knowledge of Medical Billing, Medical Coding, HIPAA, Insurance Payors, and Federal & State rules and regulations.
• Mastery of eClinicalWorks (eCW) or similar practice management system.
• Ability to maintain confidentiality.
• Reliable and productive approach to daily work and team.

Experience and Education

• Minimum 4 years’ experience in a similar role in a medical practice or hospital environment.
• High school diploma or equivalent required, some college education preferred.
• Certification in Medical Billing preferred.
• OB/GYN billing/coding experience preferred

The estimated range is the budgeted amount for this position. Final offers are based on various factors, including skill set, experience, location, qualifications and other job-related reasons.

Full Time Benefits Summary

• Full time benefit-eligibility beginning the first of the month after hire
• 401(k) with company match
• Generous PTO offering with additional time off for volunteering
• Choice of multiple medical insurance plans to best meet your needs
• Access to Axia providers at little to no cost through Axia’s medical insurance
• Axia-paid life insurance, short term and long term disability
• Free counseling for colleagues and family members, including parents and parents-in-law
• Access to discount on Hotels, Theme Parks, Gym Memberships, and more through the Great Works Perks Program
• Additional insurance options including dental, vision, supplemental life insurance, FSA, HSA w/ employer contribution, identity theft, long term care, pet insurance and more!

At Axia Women’s Health, we’re passionate about creating a community where our colleagues and patients feel empowered to be their full, authentic selves. We welcome all individuals – without regards to gender, race, ethnicity, ability, or sexual orientation – and proudly celebrate our individual experiences and differences.

In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire. Applicants must be currently authorized to work in the United States on a full-time basis.