What is a charge capture Specialist?
What is a charge capture Specialist?
JOB DESCRIPTION: The charge capture specialist is responsible for the accurate and timely charge capture and data input of patient encounters for physicians services into the billing system, and the resolution of assigned edits. Prepares and scans batches for data entry.
What is charge capture?
Charge capture is the process providers use to get paid for services rendered. After documenting a patient encounter in the medical record, providers or their health information management and coding staff assign codes for claims.
What does a charge Specialist do?
A charge entry specialist works for a medical company and is responsible for carefully reviewing many types of data given by clients. This data can include demographics, patient billing, and insurance information gathering.
What is charge reconciliation in healthcare?
Charge reconciliation is the act of comparing charges captured to the services provided. It is an important process within a health care organization’s revenue cycle to ensure consistent, timely, and accurate charge capture and resolution of pending charges.
What does a charge capture analyst do?
Charge Capture Specialist is responsible for ensuring that all billing charges are captured in an appropriate manner. Identifies, analyzes and reconciles billing errors or omissions. Being a Charge Capture Specialist reviews patient account records and third party payer issues.
What is charge reconciliation?
Charge reconciliation involves multiple steps across various departments and needs to be included in daily workflows to capture charges quickly and apply the correct account. The charge reconciliation process need to be defined and documented to encompass steps, reports, follow-up, and roles.
Why is charge capture important?
Charge capture is critical for success for every healthcare organization that seeks reimbursement for their services from insurance companies. If the services are captured on the reimbursement form, then the clinician or facility simply won’t get paid for those services, which results in lost revenue.
What is another name for charge capture?
Charge capture is the process of getting paid for the services a health system provides and is based on a health system’s master list of all billable services and associated costs, also known as the chargemaster or charge description manager (CDM).
What is a charge entry representative?
As a Charge Entry Representative you will be responsible for monitoring data entry of patient demographics and charges, and reviewing accounts for additional information needed for billing. This is a fast paced, heavy volume position with room for advancement.
How do you reduce lag days?
Thus, studying your charge lag is significantly important.
How do you calculate lag days?
Charge entry lag is calculated by the number of days from the date of service to the date charges are entered. Claim lag is defined as the date of service to the charge billing date.
What is charge capture in a hospital?
Charge capture is a process used by doctors and other health care providers to get paid for their services. In its simplest form, charge capture is the process whereby doctors record information on their services, which is then sent out to different payers and insurance companies for reimbursement.
How long does it take to become a charge capture specialist?
May require a bachelor’s degree. Additionally, Charge Capture Specialist typically reports to a manager. To be a Charge Capture Specialist typically requires 2 to 4 years of related experience. Gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work.
How do I set up an accurate charge capture system?
Your department must ensure it takes the time to set up a system that meets the needs of your facility. Understanding your EMR and charge capture system, establishing checkpoints, and looking for trends will help you facilitate accurate charge capture.
How do you identify missed charge capture opportunity?
Identify missed charge capture opportunity through doing onsite visits. The best way to understand how clinicians are providing care and documenting is to observe them firsthand. Ask the end-user what’s missing or causing them problems.
How do you deal with incorrect coding and charge capture?
Correct coding and charge capture require coordination between clinicians, revenue generating departments, compliance staff and billers, which can tax traditional revenue cycle management processes and technologies.
