Job title: Data Entry Charge/Payment Entry Clerk Three
Reports to: Business Office Manager

Summary

This position is responsible for thoroughly and accurately obtaining and entering surgery charges, insurance/patient payments into the practice management system, daily A/R close-out, refunds, maintaining CPT/ICD file and payer fees schedules in practice management system, month-end/year-end close out and reports.

Essential Functions
Activity and knowledge requirements

Essential functions

Data Entry Three clerk activities 95 percent of time

• Check surgery tickets for appropriate CPT/ICD codes, modifiers, and prepare batch for entry and enter into practice management system. Balance and post daily.
• Set-up new patient demographics for all surgery patients prior to first office visit, document flat days in patient master file and all other pertinent information required for filing claims.
• Post daily insurance/patients payment batches. Assist with posting of BC/BS, Medicare electronic payments and Medicaid payments.
• Refunds
• Assist/back-up Code Scan

Other activities 5 percent of time

• As assigned by Data Entry Supervisor
• Acting data entry supervisor in absence of Data Entry Supervisor.

The above specified tasks may not be the only duties assigned. Employees will be required to carry out any other job-related instructions requested by their supervisor, subject to reasonable accommodations.

Work environment

• Normal exposure to weather and temperature extremes.
• Normal amount of overtime or extended work hours required.

Physical effort

• Normal physical mobility, which includes movement from place to place.
• Normal physical agility, which includes ability to maneuver body while in place.
• Normal physical strength to handle routine office materials and tools.
• Normal physical strength to handle 25-pound object, taking frequency into consideration.
• Normal dexterity of hands and fingers.
• Normal coordination, including eye-hand, hand-foot.
• Above average endurance.

Knowledge requirements

•  Working Knowledge Excel and Microsoft Word

•  Accounting Knowledge of Debit/Credits

• High school diploma or GED equivalent.
• Minimum of 2 years medical billing/coding experience.
• Must have strong customer-service orientation.
• Must have strong team orientation.
• Must have strong attention for detail.

Mental effort

• Normal concentration/intensity.
• Normal memory, taking into consideration the amount and type of information.
• Normal complexity of decision making.
• Normal time pressure of decision making.

Communication

• Normal verbal communication.
• Normal written communication.
• Normal nonverbal communication.

Sensory abilities

• Normal ability to see, distinguish colors and hear.
• Normal sense of touch.

Certificates, Licenses, Registrations  

None required for this position

Supervisory Responsibilities

None