This position secures outpatient accounts by performing insurance verification, obtaining benefit information, calculating patient estimates, and obtaining prior authorization before services are rendered. The role involves working with physicians, nurses, clinic managers, and financial advocates to resolve issues that arise during the prior authorizations process.
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As a Charge Entry Specialist, you will play a vital role in ensuring accurate and timely charge submission by reviewing clinical documentation, entering billable services into the billing system, and resolving discrepancies. This role requires strong attention to detail and a solid understanding of payer requirements. The Charge Entry Specialists also support audits, charge corrections, and special projects.