Patient Accounts Electronic Billing Representative

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.u00a0As a result, we aim for flexibility in structuring competitive compensation offers to ensure we can attract the best candidates.Position OverviewPatient Accounts Electronic Billingu00a0RepresentativeJOB CODE:50344SUMMARY (BASIC PURPOSE OF THE JOB)Ensures responsibility for all aspects of both electronic and hard copy claim submissions.MINIMUM REQUIREMENTSEducation: High school diploma or GED.Experience: Previous healthcare billing experience.Usual Work Day:8 Hours u00a0ESSENTIAL 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 ENVIRONMENTFrequent physical demands include: SittingOccasional 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 motionContinuous 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 HearingAnticipated Occupational Exposure Risks Include the following: N/AThis 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

Created: 2026-03-07