Hybrid Charge Entry Specialist - Greenville, SC

Posted 18 Days Ago
Be an Early Applicant
United States of America
Junior
Healthtech • Pharmaceutical
The Role
The Charge Entry Specialist is responsible for auditing encounters, ensuring accurate insurance demographic entry, notifying of data trends, maintaining knowledge of coding and compliance issues, and the timely posting of submitted encounters.
Summary Generated by Built In

Crossroads Treatment Centers is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Since 2005, Crossroads has been at the forefront of treating patients with opioid use disorder. Crossroads is a family of professionals dedicated to providing the most accessible, highest quality, evidence-based medication assisted treatment (MAT) options to combat the growing opioid epidemic and helping people with opioid use disorder start their path to recovery. This comprehensive approach to treatment, the gold standard in care for opioid use disorder, has been shown to prevent more deaths from overdose and lead to long-term recovery. We are committed to bringing critical services to communities across the U.S. to improve access to treatment for over 26,500 patients. Our clinics are all outpatient and office-based, with clinics in Georgia, Kentucky, New Jersey, North and South Carolina, Pennsylvania, Tennessee, Texas, and Virginia. As an equal opportunity employer, we celebrate diversity and are committed to an inclusive environment for all employees and patients.

Day in the Life of a Charge Entry Specialist

  • Responsible for the audit and daily balancing of encounters/ billable services as outlined in department processes for various centers.

  • Responsible for ensuring the accurate insurance demographic entry of patient information to enable timely reimbursement.

  • Responsible for the notification and accumulation of trends from Physicians and/or office personnel, in the event incomplete or inaccurate data is submitted.

  • Responsible for current knowledge of all CPT codes and modifiers, ICD-10 coding as well as any. regulatory compliance issues as it pertains to billing of Physicians services.

  • Responsible for notification to the RCM Manager of any errors and/or Compliance issues noted on submitted claims or pre-billed claims.

  • Responsible for the timely, accurate posting of all submitted encounters.

Education and Experience requirements

  • High school diploma or equivalent.

  • Preferred 2 years medical billing and charge entry – in a hospital or physician office setting.

  • Certified coder preferred.

  • General knowledge of HCPCS and CPT coding.

  • Working knowledge of practice management software.

  • Working knowledge with allowable/contractual amounts, payment terminology, adjustments, identifying patient responsibility.

Hours, Schedule, and Travel (if applicable)

  • Monday-Friday; 8:00am-5:00pm

  • Hybrid Opportunity - Position will be fully in office during training period (which may vary depending on candidate's ability to meet competency requirements. Once requirements have been met, the employee may transition to working three days in office per week and two days remote.

Position Benefits

  • Have a daily impact on many lives.

  • Excellent training if you are new to this field.

  • Mileage reimbursement (if applicable) Crossroads matches the current IRS mileage reimbursement rate.

  • Opportunity to save lives every day!

Benefits Package

  • Medical, Dental, and Vision Insurance

  • PTO

  • Variety of 401K options including a match program with no vesture period

  • Annual Continuing Education Allowance (in related field)

  • Life Insurance

  • Short/Long Term Disability

  • Paid maternity/paternity leave

  • Mental Health day

  • Calm subscription for all employees

The Company
Greenville, South Carolina
1,248 Employees
On-site Workplace
Year Founded: 2005

What We Do

We exist to improve health equity in order to create superior outcomes.

Crossroads is a behavioral healthcare company founded in 2005, with more than 110 locations across nine states.

We provide medication-assisted treatment (MAT) and measurement-based care to help our patients on their path to recovery. We also offer services for hepatitis C, toxicology screening, digital health screens, and smoking cessation in many of our locations.

We provide the highest level of convenience with TeleVisits, our 24/7 hour call center, and appointments within 48 hours or less

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