Medical Biller - (Remote)

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 :

PHYSICAL DEMANDS AND WORK ENVIRONMENT