Charge Entry Specialist

Axia Women's Health is the nation’s largest community-based, integrated women's health network in the country serving women throughout

New Jersey,Pennsylvania,Indiana, and Kentucky. At its core, Axia Women’s Health is a community of over 400 providers across nearly 150 locations committed to providing a more caring, connected, and progressive health care experience for women. Its rapidly growing network spans OB/GYN care, breast health, high-risk pregnancy care, urogynecology care, behavioral health, and fertility. Together, Axia Women's Health puts women first by delivering the personalized care needed for women to lead healthier, happier lives.

Axia Women’s Health has been recognized as the #1 Physician Practice for Women’s Health by Castle Connolly and certified as a Great Place to Work for five consecutive years. Learn more at  .

The Charge Entry Specialist provides business assistance to Axia Women’s Health practices so that our practitioners can focus on providing compassionate and comprehensive health care for women at every stage of life. This role is a professional people person, whose persistent nature helps close claims and generates revenue for the organization. The Charge Entry Specialist is an engaging and confident member of our community who embodies our colleague-oriented, high-performance culture, which emphasizes empowerment, quality, productivity, goal attainment, and ongoing development of a superior workforce.

• Reviews encounters created by providers to ensure the accuracy and completeness of billing codes and documents prior to submitting claims for reimbursement by insurance payors.
• Gathers information from outside entities related to services rendered by Axia providers in hospitals, ambulatory surgical centers, and other ancillary locations.
• Scans documents and enters charges for out-of-office and in-office ancillary care, including but not limited to obstetrical deliveries, surgeries, and diagnostic procedures.
• Submits clean claims to Axia RCM for submission to insurance payors.
• Reworks or augments claims as required by clearinghouse or insurance payor rejections and denials via outside vendor.
• Reconciles claims submitted against appointments booked to ensure that all services rendered by Axia providers are documented and submitted for reimbursement.
• Researches, documents, and communicates insurance payor rules and requirements related to claims and reimbursement to Axia providers and staff.
• Researches and understands insurance payor denials and rejections and works with Axia providers, and staff to implement/revise policies and procedures to resolve the root cause of denials and rejections.
• Trains new Billing employees and current coworkers on Axia billing policies and procedures.
• Provides excellent customer service by promptly responding to emails, answering telephones, and following up on any outstanding concerns in a timely manner.
• Embraces a team-work environment and helps with various projects from colleagues and supervisor.

Skills:

• Specialized knowledge of Medical Billing, Medical Coding, HIPAA, Insurance Payors, and Federal & State rules and regulations.
• Mastery of eClinical
  
  Works (eCW) or similar practice management system.
• Ability to maintain confidentiality.
• Reliable and productive approach to daily work and team.

Experience and

Education:

• Minimum 4 years’ experience in a similar role in a medical practice or hospital environment.
• High school diploma or equivalent required, some college education preferred.
• Certification in Medical Billing preferred.
• OB/GYN billing/coding experience preferred

The estimated range is the budgeted amount for this position. Final offers are based on various factors, including skill set, experience, location, qualifications and other…