Medical Office Charge Capture Specialist​/Ortho OP Procedures

Description

POSITION SUMMARY: Responsible for accurate and timely processing of clinic work queues, including charge review, claim edit and follow up. Responsible for communicating issues and trends among front office staff, providers, clinic management and revenue cycle. Assisting in all clinic workflows leading to submission of clean claims and reduction of registration, authorization and injectable related claim denials. Collects and accounts for cash, co-pays and conducts complete cashiering function for the practice.

EDUCATION: High School diploma or equivalent required.

CERTIFICATION/LICENSES: N/A

• Must be knowledgeable in all physician practice front office operations, including registration, telephone management and reporting.
• Extensive registration knowledge is required including detailed knowledge of resolving missing or invalid registration/demographic details.
• Excellent computer skilled including data entry.
• Requires critical thinking skills and excellent customer relation skills including the ability to deal effectively with demanding/difficult situations involving patients, associates and providers.
• Must be capable of thinking and acting independently using excellent judgment to resolve issues or problems of any unusual nature.
• Knowledge of medical terminology, operating procedures and collection processes.
• Ability to recognize, evaluate, solve problems, and correct problems is essential.
• Demonstrate professionalism and excellent interpersonal skills needed to effectively and courteously deal with patient, physicians, families, insurance companies, and all levels of clinical associates.
• Must have familiarity of CPT, ICD-10, medical insurance terminology and medical information.
• Must have the ability to work in stressful situations and perform multiple tasks simultaneously, remaining calm and in control of any situation that may arise.
• Have an excellent understanding of Practice management software and excellent customer service skills are required.

EXPERIENCE: Minimum of five (5) years experience in medical front office operations, registration and EMR usage. Epic and payer portal experience preferred.

Responsible to:
Clinic Manager

Bloodborne pathogen

A. Works in clean, well‑lit, ventilated smoke‑free environment.

Subject to stressful professional relationships. Working hours vary, with flexibility due to unexpected changes in schedule and emergencies.