Charge/Payment Entry Specialist - ONSITE CA, DOWNEY

The Charge/Payment Entry Specialist (Medical Billing Charge) is responsible for gathering, auditing, and entering charge tickets daily.  

Primary duties may include, but are not limited to:

• Verify and Process Electronic medical records charges.

• Identify, analyze and reconcile billing errors and/or rejections.

  Updating patient demographics and updating Insurance information.

• Generating Claims or resubmitting of claims for submissions to payers.

• Monitoring adjudication of encounters and/or making adjustments as needed.

• Posting of patient copays.

• Obtains all tickets in a timely manner and audits for accuracy and completeness. Inputs charges, procedure codes, and diagnosis codes selected by treating physician into the Nextgen System.

• Tallies charges daily. Attends Charge Entry meetings held by the Compliance Analyst.

• Adheres to CareMore policies that are applicable to the position.

• Ensures that company policies are understood.  

Qualifications - External

Primary requirements:

• Requires H.S. diploma or GED

• Course completion in coding (CPT, ICD-9 coding and HCPCs) or related experience

• Minimum of 1 year of experience in the medical field;

• Any combination of education and experience, which would provide an equivalent background.

Preferred requirements:

• Knowledge of CPT, ICD-10 and medical terminology preferred.

• Nextgen experience preferred.

For candidates working in person or remotely in the below locations, the salary* range for this specific position is $16.19 to $24.28.

Locations:  California

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company.  The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws .

* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.