South Central Regional Medical Center
Job Class:
Biller I-II-III-IVDepartment:
9100- Business Office / 9630- Clinic ManagementCORE DUTIES AND RESPONSIBILITIESDemonstrates Competency in the Following Areas:
GENERAL FUNCTION:
This training position is accountable for learning how to process all commercial insurance claims accurately and timely on 1500 and UB04 forms.
Commercial insurance claims include:
Blue Cross, Workmen's Comp, HMO & PPO insurances, Champus, Contractual policies, etc Timely follow-ups on claims to ensure payments are received.
JOB DUTIES:
-Maintain established policies and procedures, objectives, quality assurance program and safety standards.
-Research all information to complete billing process.
-Accurate filing of all claims.
-Answer any inquiries regarding billing of accounts.
-Maintain department records, reports, and files as required.
-Participate in educational programs and in-service meetings.
-Perform other job duties as assigned or requested.
MINIMUM
Qualifications:
-Must be able to type 30 wpm with computer skills-Must be able to read and write and have good communication skills-Billing experience preferredTRAINING TIERSA Biller I is considered a trainee.
A trainee has three (3) months in which to demonstrate competency on three (3) of the following skills.
Should the trainee not meet this goal, they may be transferred to a lesser position, retrained or terminatedCreate EncounterKey ChangesVerify InsuranceRelease ChargesCorrect RejectionsAnswer PhonesA Biller I/Trainee has six (6) months in which to demonstrate competency in all of the above areas.
Once demonstrated, trainee will be moved to a Biller II.
Should the trainee not meet this goal, they may be transferred to a lesser position or terminated.
A Biller II has six (6) months from becoming a Biller II to demonstrate competency in three (3) of the following skills:
AR Follow UpWork DenialsReview Claims and make necessary correctionsFollow up on insuranceMake CorrectionsThe Biller II will be moved to a Biller III.
Should the Biller II not meet this goal, they may be transferred to a lesser position or terminated.
A Biller III has six months from becoming a Biller III to demonstrated competency in all areas listed for the Biller II.
A Biller III will be moved to a Biller IV when all areas are mastered.
CONTACTS:
Job Class:
Biller I-II-III-IVDepartment:
9100- Business Office / 9630- Clinic ManagementCORE DUTIES AND RESPONSIBILITIESDemonstrates Competency in the Following Areas:
GENERAL FUNCTION:
This training position is accountable for learning how to process all commercial insurance claims accurately and timely on 1500 and UB04 forms.
Commercial insurance claims include:
Blue Cross, Workmen's Comp, HMO & PPO insurances, Champus, Contractual policies, etc Timely follow-ups on claims to ensure payments are received.
JOB DUTIES:
-Maintain established policies and procedures, objectives, quality assurance program and safety standards.
-Research all information to complete billing process.
-Accurate filing of all claims.
-Answer any inquiries regarding billing of accounts.
-Maintain department records, reports, and files as required.
-Participate in educational programs and in-service meetings.
-Perform other job duties as assigned or requested.
MINIMUM
Qualifications:
-Must be able to type 30 wpm with computer skills-Must be able to read and write and have good communication skills-Billing experience preferredTRAINING TIERSA Biller I is considered a trainee.
A trainee has three (3) months in which to demonstrate competency on three (3) of the following skills.
Should the trainee not meet this goal, they may be transferred to a lesser position, retrained or terminatedCreate EncounterKey ChangesVerify InsuranceRelease ChargesCorrect RejectionsAnswer PhonesA Biller I/Trainee has six (6) months in which to demonstrate competency in all of the above areas.
Once demonstrated, trainee will be moved to a Biller II.
Should the trainee not meet this goal, they may be transferred to a lesser position or terminated.
A Biller II has six (6) months from becoming a Biller II to demonstrate competency in three (3) of the following skills:
AR Follow UpWork DenialsReview Claims and make necessary correctionsFollow up on insuranceMake CorrectionsThe Biller II will be moved to a Biller III.
Should the Biller II not meet this goal, they may be transferred to a lesser position or terminated.
A Biller III has six months from becoming a Biller III to demonstrated competency in all areas listed for the Biller II.
A Biller III will be moved to a Biller IV when all areas are mastered.
CONTACTS:
-Within organization--all departments-Within organization--all departmentsPI238767922About the Company:
South Central Regional Medical Center.
Estimated Salary: $20 to $28 per hour based on qualifications.
Biller I-II-III-IVDepartment:
9100- Business Office / 9630- Clinic ManagementCORE DUTIES AND RESPONSIBILITIESDemonstrates Competency in the Following Areas:
GENERAL FUNCTION:
This training position is accountable for learning how to process all commercial insurance claims accurately and timely on 1500 and UB04 forms.
Commercial insurance claims include:
Blue Cross, Workmen's Comp, HMO & PPO insurances, Champus, Contractual policies, etc Timely follow-ups on claims to ensure payments are received.
JOB DUTIES:
-Maintain established policies and procedures, objectives, quality assurance program and safety standards.
-Research all information to complete billing process.
-Accurate filing of all claims.
-Answer any inquiries regarding billing of accounts.
-Maintain department records, reports, and files as required.
-Participate in educational programs and in-service meetings.
-Perform other job duties as assigned or requested.
MINIMUM
Qualifications:
-Must be able to type 30 wpm with computer skills-Must be able to read and write and have good communication skills-Billing experience preferredTRAINING TIERSA Biller I is considered a trainee.
A trainee has three (3) months in which to demonstrate competency on three (3) of the following skills.
Should the trainee not meet this goal, they may be transferred to a lesser position, retrained or terminatedCreate EncounterKey ChangesVerify InsuranceRelease ChargesCorrect RejectionsAnswer PhonesA Biller I/Trainee has six (6) months in which to demonstrate competency in all of the above areas.
Once demonstrated, trainee will be moved to a Biller II.
Should the trainee not meet this goal, they may be transferred to a lesser position or terminated.
A Biller II has six (6) months from becoming a Biller II to demonstrate competency in three (3) of the following skills:
AR Follow UpWork DenialsReview Claims and make necessary correctionsFollow up on insuranceMake CorrectionsThe Biller II will be moved to a Biller III.
Should the Biller II not meet this goal, they may be transferred to a lesser position or terminated.
A Biller III has six months from becoming a Biller III to demonstrated competency in all areas listed for the Biller II.
A Biller III will be moved to a Biller IV when all areas are mastered.
CONTACTS:
Job Class:
Biller I-II-III-IVDepartment:
9100- Business Office / 9630- Clinic ManagementCORE DUTIES AND RESPONSIBILITIESDemonstrates Competency in the Following Areas:
GENERAL FUNCTION:
This training position is accountable for learning how to process all commercial insurance claims accurately and timely on 1500 and UB04 forms.
Commercial insurance claims include:
Blue Cross, Workmen's Comp, HMO & PPO insurances, Champus, Contractual policies, etc Timely follow-ups on claims to ensure payments are received.
JOB DUTIES:
-Maintain established policies and procedures, objectives, quality assurance program and safety standards.
-Research all information to complete billing process.
-Accurate filing of all claims.
-Answer any inquiries regarding billing of accounts.
-Maintain department records, reports, and files as required.
-Participate in educational programs and in-service meetings.
-Perform other job duties as assigned or requested.
MINIMUM
Qualifications:
-Must be able to type 30 wpm with computer skills-Must be able to read and write and have good communication skills-Billing experience preferredTRAINING TIERSA Biller I is considered a trainee.
A trainee has three (3) months in which to demonstrate competency on three (3) of the following skills.
Should the trainee not meet this goal, they may be transferred to a lesser position, retrained or terminatedCreate EncounterKey ChangesVerify InsuranceRelease ChargesCorrect RejectionsAnswer PhonesA Biller I/Trainee has six (6) months in which to demonstrate competency in all of the above areas.
Once demonstrated, trainee will be moved to a Biller II.
Should the trainee not meet this goal, they may be transferred to a lesser position or terminated.
A Biller II has six (6) months from becoming a Biller II to demonstrate competency in three (3) of the following skills:
AR Follow UpWork DenialsReview Claims and make necessary correctionsFollow up on insuranceMake CorrectionsThe Biller II will be moved to a Biller III.
Should the Biller II not meet this goal, they may be transferred to a lesser position or terminated.
A Biller III has six months from becoming a Biller III to demonstrated competency in all areas listed for the Biller II.
A Biller III will be moved to a Biller IV when all areas are mastered.
CONTACTS:
-Within organization--all departments-Within organization--all departmentsPI238767922About the Company:
South Central Regional Medical Center.
Estimated Salary: $20 to $28 per hour based on qualifications.
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