Demo & Charge Entry - Professional

Job Summary

1 to 3 years of hands-on medical billing or data entry experience.

Responsibilities

• Coding Basics: Familiarity with CPT (Procedures) and ICD (Diagnosis) Codes.
• Healthcare RCM: Basic familiarity with US healthcare insurance, patient demographics, and insurance verification workflows.
• Reporting capabilities.
• Data Input: Timely and accurate entry of patient demographics, dates of service, and financial details into the Practice Management (PM) system.
• Coding Modifiers: Reviewing clinical records to attach proper ICD-10 diagnosis codes, CPT/HCPCS procedure codes, and payer-specific modifiers.
• Eligibility Verification: Checking active insurance coverage and authorization requirements through carrier websites or portals.
• Batch Reconciliation: Balancing charge batches, resolving discrepancies, and maintaining strict turnaround time goals-typically within 48 hours.
• Denial Prevention: Reviewing import charges from Electronic Medical Records (EMR) to spot errors and reduce front-end claim edits or rejections.
• Technical Proficiency: Experience with medical billing software and EMR platforms.
• Regulatory Knowledge: Understanding of Correct Coding Initiative (CCI) guidelines, local coverage determinations (LCD), and HIPAA compliance.
• Attention to Detail: High typing accuracy and analytical skills to prevent costly billing errors and revenue delays.
• Medical Terminology: Basic understanding of medical records, super-bills, and clinical documentation.

Qualifications

• Proficiency in Microsoft Excel, ten-key typing, and practice management or electronic medical record (EMR) software.
• Team player.
• Adaptability to work in different shifts, teams and roles.

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