Charge Entry Billing Specialist

Key Responsibilities

• Perform daily census-to-charge reconciliation to confirm all billable patient encounters have been captured.
• Compare census, encounter, provider, and charge information across multiple systems and reports.
• Identify and resolve missing, duplicate, incomplete, or conflicting charges.
• Confirm each charge is associated with the correct patient, provider, facility, encounter, and date of service.
• Reconcile information from electronic medical records, hospital census reports, charge files, provider documentation, and billing systems.
• Maintain accurate reconciliation logs for multiple hospitals and providers.
• Review professional charges for completeness, accuracy, and compliance before submission.
• Validate CPT, HCPCS, ICD-10 alignment, and modifier usage.
• Verify billing elements such as demographics, insurance, dates of service, place of service, providers, facility, patient status, authorization, and eligibility.
• Process, review, and release charges within turnaround-time standards.
• Investigate discrepancies, determine root causes, and collaborate with clinical, billing, credentialing, and accounts receivable teams.
• Support onboarding of new hospitals, providers, and service locations.

Qualifications

• At least one year of experience in medical billing, charge capture, charge entry, coding support, claim review, pre-bill review, revenue integrity, or healthcare revenue cycle operations.
• Experience in a physician practice, hospital-based medical group, health system, specialty practice, medical billing company, or similar healthcare environment.
• Working knowledge of professional medical billing and charge workflows.
• Familiarity with CPT, HCPCS, ICD-10, modifiers, place of service, provider attribution, and claim-submission requirements.
• Experience reviewing, reconciling, or validating billing data from multiple sources.
• Proficiency in Microsoft Excel.
• Experience using EMR, practice-management, billing, or claim systems.
• Strong attention to detail, organization, time management, and communication skills.