Medical Billing Specialist

4 weeks ago


London, Kentucky, United States South Central Regional Medical Center Full time
Job Summary

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.
Requirements
  • 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.
Training Tiers

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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