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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 Accounts
• Manager 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