Shuvel Digital
Lawrence Township, NJ, USA
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...