Medical Billing Specialist
2 days ago
We are seeking a highly skilled and detail-oriented Medical Billing Specialist to join our team at South Central Regional Medical Center. As a Medical Billing Specialist, you will be responsible for processing commercial insurance claims accurately and timely on 1500 and UB04 forms.
Key Responsibilities- Maintain established policies and procedures, objectives, quality assurance program, and safety standards.
- Research all information to complete the billing process.
- Accurately file 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.
- Must be able to type 30 wpm with computer skills.
- Must be able to read and write and have good communication skills.
- Billing experience is preferred.
A 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 terminated.
- Create Encounter
- Key Changes
- Verify Insurance
- Release Charges
- Correct Rejections
- Answer Phones
A Biller I/Trainee has six (6) months in which to demonstrate competency in all of the above areas. Once demonstrated, the 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 Up
- Work Denials
- Review Claims and make necessary corrections
- Follow up on insurance
- Make Corrections
The 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 demonstrate competency in all areas listed for the Biller II. A Biller III will be moved to a Biller IV when all areas are mastered.
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