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 advanced 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.

Capital Health recognizes that attracting the best talent is key to our strategy and success as an organization. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates.

The listed pay range or pay rate reflects compensation for a full-time equivalent (1.0 FTE) position. Actual compensation may differ depending on assigned hours and position status (e.g., part-time).

Pay Range:

$19.32 - $28.07

Scheduled Weekly Hours:

40

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 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.

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

This position is eligible for the following benefits:

• Medical Plan

• Prescription drug coverage & In-House Employee Pharmacy

• Dental Plan

• Vision Plan

• Flexible Spending Account (FSA)

- Healthcare FSA

- Dependent Care FSA

• Retirement Savings and Investment Plan

• Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance

• Supplemental Group Term Life & Accidental Death & Dismemberment Insurance

• Disability Benefits – Long Term Disability (LTD)

• Disability Benefits – Short Term Disability (STD)

• Employee Assistance Program

• Commuter Transit

• Commuter Parking

• Supplemental Life Insurance

- Voluntary Life Spouse

- Voluntary Life Employee

- Voluntary Life Child

• Voluntary Legal Services

• Voluntary Accident, Critical Illness and Hospital Indemnity Insurance

• Voluntary Identity Theft Insurance

• Voluntary Pet Insurance

• Paid Time-Off Program

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