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