A Charge Entry Specialist will be responsible for reviewing various types of data such as demographics, insurance information gathering and patient billing given by clients in a medical company. The Charge Entry Specialist Resume highlights such tasks as – contacting customers to obtain account information, reviewing and retaining hospital records, computing fees and charges due, inputting and preparing patient and insurance data, researching and verifying accuracy of billing data, revising errors such as adjustments and denials, and maintaining charge tickets as per references.
Employers want different skills and qualification for this role such as – excellent ability to read and interpret ICD, HCPC, and CPT codes; in-depth knowledge of standard concepts and protocols of medical coding, knowledge of operating office equipment and the Internet and familiarity with medical terminologies and billing procedures. A high school diploma or a GED is mandatory, however, representing higher qualification will be an asset.
Summary : Dedicated professional with a decade of experience in charge entry and medical billing processes, adept at ensuring accurate and timely claim submissions. Proven ability to enhance operational efficiency and streamline billing procedures to support optimal revenue cycles. Committed to leveraging extensive knowledge of coding standards, including ICD-9 and ICD-10, to minimize errors and improve patient account management. Eager to contribute to a dynamic healthcare team focused on delivering exceptional service and organizational success.
Skills : Proficient in EMR Systems, Strong Verbal and Written Communication, Advanced Microsoft Office Skills, Claims Processing Expertise
Description :
Consistently met daily and weekly productivity standards while adhering to company policies and procedures.
Reviewed and resolved denied bills, implementing appropriate actions in line with state-specific guidelines and company protocols.
Conducted thorough analysis of accounts, ensuring accurate charge, payment, and balance interpretations.
Managed follow-up on aged accounts through various channels, enhancing collection efforts.
Maintained and updated patient and carrier account files in compliance with company policies.
Executed accurate charge entry for multiple physicians daily, ensuring data integrity.
Proactively addressed and resolved discrepancies identified in daily error reports.
Experience
7-10 Years
Level
Management
Education
AAS
Sr. Charge Entry Specialist Resume
Summary : With a robust background spanning ten years in charge entry and medical billing, I excel in ensuring precise claim submissions and optimizing billing workflows. My expertise in regulatory compliance and coding standards, including ICD-10, has consistently improved revenue cycle outcomes while minimizing discrepancies.
Reconciled data entry batches to ensure accurate balancing of charges and time of service payments.
Executed charge corrections, edits, and resolved billing discrepancies efficiently.
Facilitated effective collaboration with finance departments to streamline billing operations.
Consistently received top ratings in customer service quality surveys, reflecting commitment to patient care.
Performed data entry for all inpatient hospitalist visit charges using the EPIC medical software system.
Conducted thorough verification of patient insurance and updated insurance carrier information as needed.
Trained junior staff on charge entry best practices, enhancing team performance and accuracy.
Experience
10+ Years
Level
Senior
Education
AAS Medical Billing
Jr. Charge Entry Specialist Resume
Objective : Accomplished Charge Entry Specialist with five years of extensive experience in medical billing and charge capture, proficient in ensuring accurate and timely submission of claims. My expertise in navigating complex coding standards, including ICD-10 and CPT, significantly reduces claim rejections while enhancing revenue cycle efficiency.
Skills : ICD-10 and CPT Coding, Medical Billing Software Proficiency, Claims Processing, Insurance Verification, Revenue Cycle Management
Description :
Provided comprehensive support to patients regarding insurance billing inquiries and payment processes.
Accurately transferred patient payments from accounts to encounters in ECW, ensuring timely posting of charges.
Updated patient demographic and insurance details in the practice management system, maintaining data integrity.
Kept abreast of evolving insurance policies and billing codes to ensure compliance and accuracy.
Coded and entered patient procedures, diagnoses, and charges for services rendered into the practice management system.
Reviewed historical collection efforts against payments received to monitor compliance with payment agreements.
Entered financial assistance details into patient accounts and applied appropriate discount amounts when necessary.
Experience
2-5 Years
Level
Junior
Education
AAS HIT
Charge Entry Specialist III Resume
Headline : Bringing over seven years of specialized experience in charge entry and medical billing, I excel in ensuring accuracy and efficiency in claim submissions. My strong foundation in coding standards, including ICD-10 and CPT, allows me to significantly reduce errors and enhance revenue cycle processes. I am dedicated to optimizing operational workflows and improving patient account management, aiming to drive success within a collaborative healthcare team.
Reviewed and interpreted complex patient procedures to accurately assign CPT/HCPCS codes and modifiers.
Performed qualitative analysis of documentation for consistency, ensuring CPT codes reflect the care provided.
Submitted queries to physicians for clarification on incomplete documentation, enhancing coding accuracy.
Analyzed denial correspondence to provide coding recommendations and improve future submissions.
Resolved account issues by reviewing reports of unbilled accounts and implementing corrective actions.
Utilized extensive knowledge of cardiovascular procedures to ensure accurate coding in specialized cases.
Generated office charges for all physicians, ensuring compliance with billing protocols.
Experience
5-7 Years
Level
Executive
Education
AAS
Charge Entry Specialist II Resume
Headline : With seven years of specialized experience in charge entry and medical billing, I have honed my skills in ensuring accurate and timely claim submissions while adhering to industry standards. My expertise in coding practices, including ICD-10 and CPT, has led to a significant reduction in claim rejections and enhanced revenue cycle efficiency.
Skills : Medical Coding Proficiency, Claims Processing, Revenue Cycle Management, Attention to Detail, Add New
Description :
Obtained consultation, progress notes, and operative reports from multiple facilities to ensure comprehensive patient records.
Verified demographic information for accuracy before data entry into the billing system.
Efficiently scanned and organized patient documents into corresponding charts for easy access.
Registered patients and managed incoming calls, ensuring timely communication with healthcare providers.
Accurately coded office and hospital consultations, progress notes, surgeries, and procedures, entering charges into the system.
Followed up on claims, making necessary corrections to ensure prompt processing.
Tracked certification and physician order forms using Excel spreadsheets to maintain compliance.
Experience
5-7 Years
Level
Executive
Education
AAS
Charge Entry Specialist I Resume
Headline : Accomplished Charge Entry Specialist with over seven years of experience in medical billing and charge entry. I excel in the precise submission of claims, utilizing a deep understanding of coding standards such as ICD-10 and CPT to enhance revenue cycle integrity. My proactive approach has led to notable reductions in claim rejections and streamlined billing processes. I am dedicated to improving operational efficiency and ensuring compliance within fast-paced healthcare environments.
Skills : Proficient in Medical Billing Software, Data Entry Accuracy, Claims Submission Management, Regulatory Compliance Knowledge
Description :
Entered billing data and submitted claims to insurance companies, private payers, Medicaid, and Medicare.
Conducted thorough data entry and verified codes for accuracy prior to submission, reducing errors.
Maintained comprehensive records in compliance with healthcare regulations and organizational policies.
Collaborated with clinical staff to ensure data accuracy and completeness for billing purposes.
Assisted with monthly closing procedures, ensuring all client accounts were accurately reconciled.
Identified discrepancies and communicated effectively with supervisors to resolve issues promptly.
Engaged with patients to address and resolve billing inquiries, enhancing customer satisfaction.
Experience
5-7 Years
Level
Executive
Education
AAS
Charge Entry Specialist/Executive Resume
Objective : Bringing five years of specialized experience in charge entry and medical billing, I excel in the accurate submission of claims and the meticulous management of patient accounts. My proficiency in coding standards, including ICD-10 and CPT, has consistently led to reduced claim denials and enhanced revenue cycle efficiency. Passionate about driving operational excellence.
Skills : Charge Capture Accuracy, Claim Reconciliation, Medical Coding Compliance, Billing Software Proficiency, Data Entry Precision
Description :
Accurately entered charges, procedure codes, modifiers, and diagnosis codes into the billing database as submitted by charge providers.
Reviewed and validated documentation to obtain missing data and ensure completeness of claims.
Reported discrepancies in demographic and referral information to the department manager for resolution.
Maintained up-to-date knowledge of coding standards and federal regulations impacting billing processes.
Audited clinic encounter tickets to ensure proper linkage to CPT and ICD-10 codes.
Performed additional work duties and assignments as required to support team objectives.
Processed daily charges for all patients seen, ensuring accuracy and compliance.
Experience
2-5 Years
Level
Junior
Education
AAS
Charge Entry Resume
Objective : Healthcare professional with five years of dedicated experience in charge entry and medical billing, skilled in the accurate and timely submission of claims. My proficiency in coding standards, including ICD-10 and CPT, has significantly enhanced revenue cycle management and minimized claim denials. Committed to improving operational workflows and ensuring compliance within dynamic healthcare environments, I am eager to contribute to a team focused on excellence in patient account management.
Received and reviewed charge documents from multiple clinics to ensure completeness and accuracy.
Verified charge information, correcting discrepancies to support timely claim submissions.
Balanced Charge Summary against tickets keyed, maintaining accurate records before updating charges.
Communicated regularly with supervisors regarding charge entry processes and any issues encountered.
Executed timely entry of charges in a high-volume environment, ensuring compliance with deadlines.
Generated and analyzed reports for each practice as required, facilitating informed decision-making.
Accurately entered charges, diagnoses, and other relevant billing information for assigned facilities, supporting efficient billing operations.
Experience
2-5 Years
Level
Junior
Education
AAS
Charge Entry Specialist/Coordinator Resume
Objective : Detail-oriented Charge Entry Specialist with 5 years of experience in accurately processing medical billing and coding. Proven track record of reducing claim denials by 30% through meticulous data entry and verification.
Skills : Microsoft Office Suite, Workplace Management Software, Allscripts Electronic Health Records, Allscripts Practice Management, Passport Health Management System
Description :
Accurately entered vital information for insurance claims, including patient data, insurance IDs, diagnosis codes, and treatment modifiers.
Ensured completeness and accuracy of claim information to prevent delays in payment.
Responded to patient inquiries regarding financial responsibilities, co-pays, and deductibles to enhance patient satisfaction.
Addressed patient complaints by providing clear explanations for non-covered services.
Conducted thorough research on ICD-9 diagnosis and CPT treatment codes to ensure proper coding.
Verified patient benefits and eligibility using advanced online verification tools.
Submitted insurance claims electronically to clearinghouses and individual payers, ensuring timely processing.
Experience
2-5 Years
Level
Junior
Education
AAS
Charge Entry Specialist Resume
Summary : Highly skilled Charge Entry Specialist with over 10 years of comprehensive experience in medical billing and charge capture, focused on ensuring the accuracy and efficiency of claim submissions. Demonstrated expertise in navigating complex coding systems, including ICD-10 and CPT, to optimize revenue cycle management. My proactive approach has resulted in significant reductions in claim denials and enhanced operational workflows.
Skills : Certified Professional Coder with 10+ years of experience in charge entry and medical billing, Charge Capture Expertise, Claims Processing Accuracy, Revenue Cycle Optimization, ICD-10 and CPT Coding Proficiency
Description :
Provided comprehensive office support, managing incoming calls with professionalism while maintaining patient confidentiality.
Executed all clerical duties, ensuring a highly organized environment for Critical Care physicians and residents.
Verified insurance benefits for newly enrolled patients, enhancing the accuracy of billing procedures.
Proactively followed up with patients regarding lapses in insurance coverage to ensure continuous care.
Collaborated with insurance companies, patients, and healthcare providers to facilitate timely claim processing and payment.
Managed facility's Accounts Receivable reports, ensuring accurate tracking of outstanding claims.
Reviewed and appealed denied claims, effectively reducing the rate of unpaid claims.
Creating an account is free and takes five seconds.
You'll get access to the PDF version of this resume template.
Choose an option.
Sign up with Google
Sign up with Facebook
Sign up with Linkedin
This helps us make sure you're human and prevents spammers from abusing our services.
By continuing, you agree to our Privacy Policy and Terms.
Unlock the Power of Over 10,000 Resume Samples.
Take your job search to the next level with our extensive collection of 10,000+ resume samples. Find inspiration for your own resume and gain a competitive edge in your job search.
Get Hired Faster with Resume Assistant.
Make your resume shine with our Resume Assistant. You'll receive a real-time score as you edit, helping you to optimize your skills, experience, and achievements for the role you want.
Get Noticed with Resume Templates that Beat the ATS.
Get past the resume screeners with ease using our optimized templates. Our professional designs are tailored to beat the ATS and help you land your dream job.
