Medical Charge Entry Specialist

Job Description

Job Description

We are looking for a detail-focused Medical Charge Entry Specialist to join a billing team in Dublin, Ohio in a contract-to-permanent position. This role supports accurate charge entry, claim readiness, and timely reimbursement by reviewing coding details, addressing billing issues, and keeping account activity current. The ideal candidate is comfortable working in a fast-paced medical billing environment, communicates effectively with patients and internal teams, and maintains a high standard of accuracy and confidentiality.

Responsibilities:
• Review and enter provider charges with close attention to coding accuracy, insurance details, and supporting documentation.
• Investigate claim edit issues and take corrective action to reduce delays in claim submission and payment.
• Support revenue cycle operations by monitoring billing activity, identifying discrepancies, and helping keep accounts updated.
• Respond to billing and coverage questions from patients and staff in a clear, thorough, and service-oriented manner.
• Follow up on outstanding insurance and patient balances, including denied claims, appeals, and account resolution efforts.
• Use practice management and electronic medical record systems to document activity, update records, and complete daily billing tasks efficiently.
• Coordinate with coworkers, providers, managers, and insurance representatives to resolve complex account and reimbursement issues.
• Protect patient and provider information by following privacy standards and maintaining strict confidentiality.
• Assist with additional billing department duties such as payment collection, payment plan support, and cross-trained team functions as needed.• At least 2 years of experience in medical billing or charge entry within a healthcare setting.
• Working knowledge of ICD-10 and CPT coding used in claim preparation and charge review.
• Experience identifying and resolving payer edits, claim issues, and reimbursement discrepancies.
• Familiarity with medical claims, collections, accounts receivable follow-up, and denial management.
• Proficiency with electronic medical records and billing platforms such as athenahealth.
• Understanding of basic medical terminology, insurance coverage review, and patient account documentation.
• Ability to manage a high volume of work with strong organization, accuracy, and independent judgment.