Charge Entry, Audit & Denials Specialist

This position involves charge entry, prior authorizations, denial management, follow-up, and compliance audits within Oncology Services.

Ensure valid pre-authorizations for all treatments and timely entry of department charges.

Follow up on denials, track monthly totals, and communicate with supervisors to prevent nonpayment.

Coordinate compliance audits related to charging and documentation.

Manage discharge processes and audit charges with billers and coders to prevent denials.

Verify diagnosis accuracy using coding resources and monitor expiration of authorizations.

Identify insurance issues and coordinate with financial advocates for patient assistance.

Qualifications include a high school diploma or GED, medical terminology knowledge, data entry skills, and strong communication.

Preferred qualifications are an associate’s degree and relevant certifications.

Physical demands include sitting, lifting, reaching, and good vision and hearing, with excellent verbal skills.