Summary:
Ensures responsibility for all aspects of both electronic and hard copy claim submissions.

Education: High school diploma or GED.

Experience:
ESSENTIAL FUNCTIONS

Ensures responsibility to download claims from HBOC and upload claims to Gaffey on a daily basis.Analyzes claims for errors and correct claims prior to submission.Works closely with other departments to make corrections and ensures accuracy for the days work.Researches all utilization review claims for accuracy prior to billing on a timely basis.Analyzes accurately the hold report to release all possible claims.Processes the monthly renal dialysis billing within guidelines on a timely basis.Reports any trends and anomalies to Patient Accounts Supervisor and Patient AccountsManager in a timely manner.Works with all primary billing reports (including but not limited to: Late Charge report, 72 hour report, NEIC report, etc) to ensure claims are billed timely and accurately.Performs other duties as assigned and adapts to changing departmental demands.

Notes:

Officially open to 100% remote. Still prefer onsite/hybrid because of training, but they are desperate and are open to remote.They did acknowledge that if a candidate is 100% remote, they are unlikely to convert to full-time/perm unless they are truly a “superstar”, but either way, they are open to having these people work on a long term contract if they are remote.They need to have billed in an acute care hospital environment AND have UB-04 experience

PHYSICAL DEMANDS AND WORK ENVIRONMENT

Frequent physical demands include: Sitting Occasional physical demands include: Standing , Walking , Climbing (e.g., stairs or ladders) , Carry objects , Push/Pull , Twisting , Bending , Reaching forward , Reaching overhead ,Squat/kneel/crawl , Wrist position deviation , Pinching/fine motor activities , Keyboard use/repetitive motion Continuous physical demands include:Lifting Floor to Waist 20 lbs. Lifting Waist Level and Above 10 lbs.Sensory Requirements include: Accurate Near Vision, Accurate Far Vision, Color Discrimination, Minimal Depth Perception, Minimal Hearing Anticipated Occupational Exposure Risks