Revenue-Centric Charge Entry & Eligibility Specialist

The Cardiovascular Care Group; Clifton (NJ); On-site; USD 55,000 - 70,000; Full time

Benefits offered by this job

Excellent work/life balance

Medical/dental/vision coverage

401k employer contributions

Paid time off

Job summary

The Cardiovascular Care Group is seeking a Charge Entry and Eligibility Specialist in New Jersey. This role supports the revenue cycle by accurately entering charges and verifying patient insurance before services whenever possible.

The ideal candidate has experience in medical billing, strong attention to detail, and proficiency with EMR and practice management systems in a fast-paced cardiovascular care setting.

Qualifications

• High School diploma or equivalent required; associate degree preferred.
• Experience in medical billing, charge entry, insurance verification, or revenue cycle operations is preferred.
• Familiarity with APRIMA EMR and practice management systems.

Responsibilities

• Enter professional and ancillary charges accurately and efficiently into the practice management system.
• Verify CPT, ICD-10, and HCPCS codes; ensure compliance with payer requirements.
• Verify patient insurance coverage and eligibility prior to services.
• Document eligibility findings in the EMR and coordinate with scheduling to resolve issues before appointments.
• Assist in reducing claim denials and support denial management efforts.
• Maintain compliance with HIPAA and organizational policies; participate in audits and quality reviews.

Skills

Medical billing

Charge entry

Insurance verification

HIPAA

Attention to detail

Excel

Communication skills

Time management

Education

High school diploma or equivalent

Associate degree in healthcare administration or related field (preferred)

Tools

APRIMA EMR

Practice management systems

Job description

The Cardiovascular Care Group is seeking a Charge Entry and Eligibility Specialist in New Jersey. This role supports the revenue cycle by accurately entering charges and verifying patient insurance before services whenever possible.

The ideal candidate has experience in medical billing, strong attention to detail, and proficiency with EMR and practice management systems in a fast-paced cardiovascular care setting.