Charge Entry Specialist Job Description [Updated for 2025]

In the fast-paced healthcare industry, the demand for Charge Entry Specialists is rapidly increasing.

As healthcare systems evolve, the need for skilled professionals who can handle, manage, and ensure the accuracy of patient charge entries becomes critical.

But what exactly does a Charge Entry Specialist do?

Whether you are:

• A job seeker wanting to understand the core of this role,
• A hiring manager outlining the perfect candidate,
• Or simply curious about the field of charge entry,

You’ve come to the right place.

Today, we present a customizable Charge Entry Specialist job description template, designed for effortless posting on job boards or career sites.

Let’s delve straight into it.

Charge Entry Specialist Duties and Responsibilities

Charge Entry Specialists, also known as Medical Billing Specialists, are responsible for managing health insurance billing for healthcare providers.

Their primary responsibility is to ensure the accuracy of medical billing and coding, as well as to manage accounts receivable and claims processing.

The duties and responsibilities of a Charge Entry Specialist include:

• Reviewing patient medical records and bills to ensure accuracy
• Entering patient treatment codes into billing software
• Processing and submitting medical claims to insurance companies
• Following up on rejected or denied claims
• Communicating with healthcare providers and insurance companies to resolve billing issues
• Assisting with patient inquiries about billing and insurance
• Maintaining confidentiality of patient data according to HIPAA guidelines
• Updating and maintaining billing software with the latest coding information
• Performing regular audits to ensure that all charges are accounted for and billed correctly
• Processing payments from insurance companies and patients

 

Charge Entry Specialist Job Description Template

Job Brief

We are seeking a detail-oriented Charge Entry Specialist to handle the data entry of medical billing codes into our system.

The Charge Entry Specialist will be responsible for accurately entering and verifying patient treatment codes, maintaining records, and assisting with billing inquiries.

The ideal candidate should have a strong understanding of medical terminology, billing codes, and revenue cycle management.

He/she should be capable of maintaining high levels of accuracy under pressure.

 

Responsibilities

• Enter medical treatment codes into billing software accurately.
• Verify all patient demographic data and insurance information.
• Review and correct claims that have been denied or rejected due to incorrect coding.
• Ensure all required documentation is available for billing.
• Maintain confidentiality of all patient information in accordance with HIPAA guidelines.
• Resolve discrepancies in billing data.
• Work closely with the billing team to ensure accurate billing and reduce denials.
• Stay updated with changes in billing codes and medical terminology.

 

Qualifications

• Proven experience as a Charge Entry Specialist or similar role in medical billing
• Knowledge of medical terminology, coding, and billing procedures
• Familiarity with ICD-10 and CPT coding
• Proficient in using medical software and computer systems
• High attention to detail and accuracy
• Strong knowledge of HIPAA regulations
• Good written and verbal communication skills
• High school diploma or equivalent. A certification in Medical Billing or a related field is a plus.

 

Benefits

• 401(k)
• Health insurance
• Dental insurance
• Retirement plan
• Paid time off
• Professional development opportunities

 

Additional Information

• Job Title: Charge Entry Specialist
• Work Environment: Office setting. May require occasional overtime to meet deadlines.
• Reporting Structure: Reports to the Billing Manager or Charge Entry Supervisor.
• Salary: Salary is based upon candidate experience and qualifications, as well as market and business considerations.
• Pay Range: $40,000 minimum to $60,000 maximum
• Location: [City, State] (specify the location or indicate if remote)
• Employment Type: Full-time
• Equal Opportunity Statement: We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
• Application Instructions: Please submit your resume and a cover letter outlining your qualifications and experience to [email address or application portal].

 

What Does a Charge Entry Specialist Do?

Charge Entry Specialists typically work for healthcare providers or billing companies.

Their main responsibility is to ensure that patient service data is accurately entered into a computer system for billing purposes.

They review patient records and doctor’s notes to accurately determine the services provided, and then they input the appropriate charges into the billing system.

They need to understand the coding systems used in healthcare billing, such as the Current Procedural Terminology (CPT) and the International Classification of Diseases (ICD).

Charge Entry Specialists also have to verify patient insurance information and may need to obtain pre-authorizations from insurance companies for certain procedures.

They typically work closely with physicians, nurses, and other healthcare providers to clarify any discrepancies in patient records and ensure accurate billing.

In addition, they may be responsible for maintaining up-to-date knowledge of billing regulations and compliance standards, providing necessary reports to management, and communicating effectively with patients and insurance companies regarding billing issues.

Their role is critical in ensuring that the healthcare provider gets correctly compensated for the services rendered.

 

Charge Entry Specialist Qualifications and Skills

A proficient Charge Entry Specialist should possess a range of skills and qualifications to efficiently handle various responsibilities, including:

• Proficiency in using medical billing software to input and manage charge entries, ensuring accuracy and completeness of data.
• Strong knowledge of medical terminologies, procedure codes, and diagnosis codes to accurately enter and review charges.
• Detail-oriented and able to maintain meticulous records of charge entries, adjustments, and payments.
• Effective communication skills to liaise with healthcare providers and insurance companies, and to resolve any discrepancies or issues in the billing process.
• Strong analytical skills to interpret complex billing information, identify errors, and suggest improvements to the charge entry process.
• Excellent time-management skills to manage a high volume of charge entries efficiently and meet deadlines.
• Understanding of healthcare regulations and compliance standards related to medical billing and coding.
• Ability to handle confidential patient information with discretion and in accordance with healthcare privacy laws.

 

Charge Entry Specialist Experience Requirements

Charge Entry Specialists often begin their career journey with a background in medical billing and coding, which may include a certification program or an associate’s degree.

This provides them with the basic knowledge and understanding of medical codes, billing processes, and insurance claim procedures.

Entry-level candidates are typically expected to have 1 to 2 years of experience, often through an internship or part-time role in a medical billing setting.

This experience will provide hands-on exposure to medical billing software and real-time billing practices.

Candidates with more than 2 years of experience may have developed their skills in data entry, claim submission, and error resolution.

This experience will often have been gained in medical office settings, where they handle insurance claims and patient billing.

Those with more than 5 years of experience should have a strong foundation in coding and billing, and may also have experience in supervising or training less experienced staff.

They may have gained additional expertise in handling complex or disputed claims, and could be ready for a managerial or team-lead position in the billing department.

In addition to the job-specific experience, good interpersonal and communication skills, attention to detail, and a high level of accuracy are also essential for the role of a Charge Entry Specialist.

 

Charge Entry Specialist Education and Training Requirements

A Charge Entry Specialist typically requires a high school diploma or equivalent.

Post-secondary education in medical billing or a related field is often preferred, although not always required.

They need a strong background in medical coding such as ICD-10 and CPT, along with a thorough understanding of medical terminology.

Practical experience with billing software and electronic health records (EHRs) is also valuable for this role.

Some employers may require Charge Entry Specialists to be certified.

This can be achieved through organizations such as the American Academy of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA).

Continuous professional development is also important in this role due to the ever-changing landscape of healthcare policies and procedures.

Beyond these technical requirements, a Charge Entry Specialist should also possess strong attention to detail, data entry skills, and the ability to work in a fast-paced environment.

 

Charge Entry Specialist Salary Expectations

A Charge Entry Specialist earns an average salary of $35,000 (USD) per year.

However, the actual earnings may differ based on factors such as level of experience, qualifications, location, and the company one is employed by.

 

Charge Entry Specialist Job Description FAQs

What skills does a Charge Entry Specialist need?

A Charge Entry Specialist should be detail-oriented and have strong computer skills, particularly in database systems and Microsoft Office.

They should have excellent organizational skills and be capable of multitasking.

Their role also requires a solid understanding of medical billing and coding procedures, insurance guidelines, and healthcare compliance regulations.

 

Do Charge Entry Specialists need a degree?

A Charge Entry Specialist doesn’t need a degree, but an associate degree or diploma in medical billing and coding, health information technology, or a related field can be beneficial.

It’s also essential for a Charge Entry Specialist to have a good understanding of medical terminology, CPT, ICD-10 coding, and HCPCS.

 

What should you look for in a Charge Entry Specialist resume?

When reviewing a Charge Entry Specialist’s resume, look for prior experience in healthcare administration or medical billing.

Knowledge of insurance procedures, coding, and familiarity with electronic health records (EHR) systems is also advantageous.

Any certifications such as Certified Professional Coder (CPC) or Certified Medical Reimbursement Specialist (CMRS) can also be a plus.

 

What qualities make a good Charge Entry Specialist?

A good Charge Entry Specialist is meticulous and has an excellent eye for detail, ensuring that all patient information is accurately recorded and billing is correctly processed.

They are also organized, able to handle multiple tasks at once and meet deadlines.

Good communication skills are essential, as they must interact with various healthcare professionals and insurance companies.

Finally, they must be ethical and maintain patient confidentiality.

 

What are the daily duties of a Charge Entry Specialist?

A Charge Entry Specialist typically begins their day by reviewing patient records and the services provided to them.

They then enter these services into a billing system using appropriate codes.

Throughout the day, they may interact with healthcare providers to clarify any ambiguities, ensure accurate billing, and correct any errors.

They also work with insurance companies to process claims and address any issues that arise.

All tasks must be performed while adhering to healthcare regulations and guidelines.

 

Conclusion

And there we have it.

Today, we’ve demystified the role of a Charge Entry Specialist.

Guess what?

It’s not just about data entry.

It’s about paving the way for efficient healthcare operations, one patient charge at a time.

Armed with our detailed Charge Entry Specialist job description template and practical examples, you’re ready to take the next step.

But don’t stop here.

Go further with our job description generator. It’s your ideal tool for crafting precise job listings or refining your resume to sheer excellence.

Remember:

Every patient charge entered is a step towards smoother healthcare operations.

Let’s create a seamless healthcare system. Together.

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