Specialist - Charge Entry

Job Description

Job Description

About Optima Medical

Optima Medical is an Arizona-based medical group consisting of 30+ locations and over 130+ medical providers , caring for more than 200,000 patients statewide . Our mission is to improve the quality of life throughout Arizona by helping communities "Live Better, Live Longer" through personalized healthcare, with a focus on preventing the nation’s top leading causes of death. We go beyond primary care with a full spectrum of services including cardiovascular health services, behavioral health, allergy testing and immunotherapy, in-house lab testing, imaging, chronic disease management, and other specialty health services. We aspire to aid the growth of our company by welcoming the most qualified and deserving candidates aboard.

We are seeking a Charge Entry Specialist to join our Revenue Cycle team and support the accurate and timely processing of patient claims across our expanding network of primary care clinics.

Job Responsibilities:

• Oversee daily data entry team and complete reconciliation of charge batches entered
• Maintain organized records of charges and batches, both entered and pending entry
• Review and assist with performing claim edits ie: ICD to CPT mapping, updating modifiers, CPT crosswalks, and claim submissions
• Review medical records and documentation for coding accuracy and completeness; review for errors & inconsistencies ensuring all billing is documented, captured, and submitted to insurance by timely filing limits
• Work closely with office managers, coders, and other billing members to resolve claim discrepancies

• Review and update patient demographics and insurance information as needed based on eligibility

• Ensure compliance with current billing requirements and internal policies

Job Qualifications:

• High School Diploma or GED required
• A minimum of 2 years' experience in medical billing, preferably in a primary care setting
• Experience with electronic health records (EHR, eClinicalWorks preferred!)
• Knowledge of CPT, ICD-10, HCPCS & medical terminology
• Excellent computer skills, detail oriented, and ability to multitask effectively
• Ability to work independently and as part of a team in a fast-paced environment

Why Join Our Team?

• Supportive and positive team culture

• Leadership and mentoring to support career growth

• Full benefits package (Medical / Dental / Vision / 401k / Paid Holidays)

• Fun team events and appreciation initiatives

• Commitment to internal promotions and professional development