Charge Specialist/Accounting Assistant Finance - #8317182

Box Butte General Hospital

Date: Oct 13, 2021
City: Alliance, NE
Contract type: Full time
Box Butte General Hospital
Title: Charge Specialist/Accounting Assitant Finance
Reporting Relationship: Controller

Charge Master

General Summary of Responsibilities: With limited supervision assists in maintaining the Hospital's Charge Master in order to optimize revenue generation and to maintain compliance with third party payor requirements. Interacts with assigned departments to identify billable goods and services and develop departmental procedures to consistently and accurately capture billing data.

Essential Job Functions:

  • Monitors and recommends changes made for the Charge Master.

  • Works with various departments in maintaining specific portions of the Charge Master.

  • Reviews and studies all information from CMS and third party payers relative to billing requirements and coding.

  • Develops recommendations for new or updated charges utilizing input from retained Charge Master consultants and/or research.

  • Attentive to the charge implications of new departments, new services, or re-engineered services.

  • Participates and provides support to the Chart Audit team, as needed.

  • Works with departmental personnel involved in the service documentation charge claims reimbursement cycle relative to Charge Master interfaces and optimization of the process.

  • Attends workshops and seminars to maintain a high level of knowledge and capabilities; specifically focused on coding regulations for Modifiers, HCPCS, CPT-4, APC’s and Revenue codes.

Charge Capture

  • Involved in the day-to-day workflow of charge entry.

  • Provides backup assistance to the other charge specialists.

  • Adheres to batch entry accuracy practices.

  • Assists in filing and archiving of charge data.

  • Knowledgeable about Healthland’s charge entry software through the Billing module and through the HIM, A/R, & Patient Registration module.

  • Gathers source documents from various established collection points.

  • Keeps track of received data and source documents.

  • Prepares and sorts source documents, and identifies and interprets data to be entered.

  • Contacts originators of source documents to resolve questions, inconsistencies, or missing data.

  • Makes necessary corrections to information entered.

  • Compiles, sorts, verifies accuracy and batches data to be entered.

  • Enters alphabetic, numeric, or symbolic data from source documents into computer following format displayed on screen, and enters necessary codes.

  • Verifies accuracy of data entered through various means, including batch totals or one-to-one checking.

  • Files or routes source documents after entry.

  • Gathers, interprets, prepares and enters charge data into computer for subsequent billing.

  • Provides charge entry support and problem resolution to departments as needed.

  • Assists with the month-end/year-end charge entry procedures for assigned departments.

Assist Accounts Payable Clerk as time permits with processing invoices and payments to vendors to include:

  • Reviewing wide range of source documents, such as purchase orders, vouchers, invoices, receipts, requisitions, petty cash, travel reimbursements and other similar material. Identify inaccuracies, such as math errors, missing or inaccurate information, signatures or proper documentation. Check invoices for payment terms including due dates and discounts.

  • Accurately assigning standard pre-established vendor and general ledger codes to invoices. Entering financial transactions into the accounting system accurately and in a timely manner. Verifying and correcting information entered. Reconciling accounting records and vendor statements within appropriate time frames.

  • Processing complex invoices and shipping documents, partial payments, discounts and other transactions which may involve reviewing contracts or multiple source documents and applying multiple accounting codes and amounts.

  • Reviewing and correcting inaccuracies or deficient documentation. Communicating effectively and tactfully with vendors to resolve billing problems, referring unresolved problems to supervisor.

  • Responding promptly and professionally to questions and information requests from Department Managers.

  • Must maintain unpaid and paid files in an organized manner that best supports the operations of the Finance Department.

Other Job Functions:

  • Performs electronic spreadsheet analysis as directed by the Controller.

  • Researches online references pertinent to the job.

  • Carry out other duties as directed by the Controller.

Job Qualifications:


Required: High school graduate or equivalent
Preferred: Associates of Science/Arts Degree in Business with Emphasis in Accounting, Finance or Health Information Management


Required: One-year of general accounting or business office. Familiarity with navigating the internet as needed. Familiarity with Microsoft Word, Excel and Outlook.

Preferred: Two to three years of healthcare-related general accounting, or medical business office experience. Fluency with CPT, ICD-9 and ICD-10 codes and the ability to research them. Understanding of Health Information Management and the Revenue Cycle. Familiarity with navigating the internet as needed

Licenses / Certifications:

Required: None

Preferred: Certified Coding Specialist (CCS) or Certified Patient Account Technician (CPAT)
Conditional: None

Personal Skills:

  • Must be a self-starter and able to work independently and decisively.

  • Excellent time management and organizational skills.

  • Strong analytical and mathematical skills.

  • Exceptional oral and written communication skills.

  • Interpersonal skills to effectively work with various multi-disciplinary professionals to achieve goals.

  • Must possess electronic spreadsheet, computer keyboarding and 10-key adding machine skills.

  • Must be dependable, honest and able to maintain confidentiality at all times.

  • Able to support BBGH's core values of Safety, Excellence, Compassion, Integrity, Devotion and Teamwork.

  • Expected work hours up to - 10

All offers of employment are subject to a Background check and drug screen.


Nebraska Department of Labor

1750 Sweetwater Room 009

Alliance, Nebraska 69301

Location: Box Butte General Hospital · FINANCE/ACCOUNTING

Schedule: FT, Day Shift, 8:00 a.m. - 5:00 pm.

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