Work Shift:

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advance technology. Capital Health is a five-time Magnet-Recognized health system for nursing excellence and is comprised of 2 hospitals. Capital Health Medical Group is made up of more than 250 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.

Position Overview:

Patient Accounts Elec Bill Rep

JOB CODE:50344

SUMMARY (BASIC PURPOSE OF THE JOB)Ensures responsibility for all aspects of both electronic and hard copy claim submissions.MINIMUM REQUIREMENTS

Education: High school diploma or GED.

Experience: Previous healthcare billing experience.

Usual Work Day:8 Hours  

ESSENTIAL FUNCTIONSEnsures 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.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 Include the following: N/A

Offers are contingent upon successful completion of our onboarding process and pre-employment physical.  Capital Health will require all applicants (including contractors, travelers and consultants) to have an annual flu vaccine prior to start date, with the exception of individuals with medical and religious exemptions.

"Company will never ask candidates for social security numbers or date of birth during application phase. If you are asked for this information online, you may be a target for identity theft."