Charge Entry Representative

Job Details

Description

Axia Women's Health is one of the largest independent women's health care groups in the United States and is on a mission to create a more caring, more connected, and more progressive women’s healthcare community. Comprised of more than 400 providers and 200 care center locations across five states, Axia Women’s Health is leading the way in women’s health by offering a full spectrum of exceptional care in obstetrics, gynecology, fertility, maternal-fetal medicine, urogynecology, and laboratory services. Our corporate headquarters are located in Oaks, Pennsylvania, and Voorhees, New Jersey. As our impressive growth continues across the MidAtlantic, we are currently recruiting for a Charge Entry Specialist for our Midwest Fertility Specialists care center in the Carmel, IN.

Axia Women’s Health provides quality, cost effective business management services to women’s health practices throughout Indiana so the practitioners can focus on providing compassionate, comprehensive health care and elevate the standards of care for women at every life stage.

You are a professional people person whose persistent nature helps close claims and generate revenue for the organization. You are an engaging and confident individual who will embody our employee-oriented, high-performance culture that emphasizes empowerment, quality, productivity, goal attainment and ongoing development of a superior workforce.

Your most important duties include:

• Reviewing encounters created by providers to ensure the accuracy and completeness of billing codes and documentation prior to submitting claims for reimbursement by payors.
• Gathering information from outside entities related to services rendered by Axia providers in hospitals, ambulatory surgery centers, and other ancillary locations.
• Scanning documents and entering charges for out-of-office and in-office ancillary care including, but not limited to, obstetrical deliveries, surgeries, and diagnostic procedures.
• Submitting clean claims to Axia RCM for submission to payers.
• Reworking or augmenting claims as required by clearinghouse or payer rejections and denials via outside vendor
• Reporting performance using established reports.
• Reconciling claims submitted to appointments booked to ensure that all services rendered by Axia providers were documented and submitted for reimbursement.
• Researching, documenting, and communicating payer rules and requirements related to claims and reimbursement to Axia providers and staff.
• Researching and understanding payer denials and rejections and working with Axia providers and staff to implement/revise policies and procedures to resolve the root cause of denials and rejections.
• Training new Billing employees and current coworkers on Axia billing policies and procedures.
• Providing excellent customer service by promptly responding to emails, answering the telephones, and following up on any outstanding concerns in a timely manner.
• Embracing the team work environment and helping with various projects from your coworkers and supervisor.
  
  

Your Abilities and Qualifications include:

• At least 4-years of experience in a medical practice or hospital environment.
• A high school diploma or general equivalency diploma (GED), preferably a degree from a 2 educational institution or certification in medical billing or relevant experience
• Specialized knowledge of Medical Billing, Medical Coding, HIPAA and Insurance/Federal/State rules and regulations
• Mastery of eClinicalWorks (eCW) or similar practice management system
• OB GYN Coding experience preferred
• Ability maintain confidentiality when dealing with secure records
• Reliability and a productive approach to daily work and team
  
  

Your Work Environment:

You work in a professional office building, typically during daytime business hours, and interact with other employees, patients and insurance companies face to face, over the phone and through email. Most of your day is spent at a desk but will be mentally stimulating with routine and complex assignments that require innovative thinking and need to be completed in a timely fashion. You thrive in team environments with a structured atmosphere and enjoy collaborating with coworkers. Occasionally, you will be required to lift no more than 15 lbs. Reasonable accommodation can be made to enable your success!

Disclaimer: This job description is intended to convey information essential to understanding the scope of your position and it is not intended to be an exhaustive list of skills, efforts, duties or responsibilities associated with the position. You will need to be flexible and perform other duties as assigned by your supervisor.

Full Time Benefits Summary

• Full time benefit-eligibility beginning the first of the month after hire
• Immediate 401(k) matching contribution with no vesting period
• Generous PTO offering with additional time off for volunteering
• Choice of multiple medical insurance plans to best meet your needs as low as $12 per pay
• Access to Axia providers at little to no cost through Axia’s medical insurance
• Axia-paid life insurance, short term and long-term disability
• Free counseling for colleagues and family members, including parents and parents-in-law
• Additional insurance options including dental, vision, supplemental life insurance, FSA, HSA, identity theft, long term care, pet insurance and more!
  
  

At Axia Women’s Health, we’re passionate about creating a community where our colleagues and patients feel empowered to be their full, authentic selves. We welcome all individuals – without regards to gender, race, ethnicity, ability, or sexual orientation – and proudly celebrate our individual experiences and differences.

In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire. Applicants must be currently authorized to work in the United States on a full-time basis.