Billing Staff Position Available In Jones, Mississippi
Tallo's Job Summary: Billing Staff in the Biller I-IV job class within the Patient Accounts/Clinic Management department are responsible for processing commercial insurance claims accurately and timely, including follow-ups for payments. Duties include maintaining policies, completing billing processes, filing claims, and answering inquiries. Minimum qualifications include typing 30 wpm, computer skills, and billing experience preferred.
Job Description
JOB SUMMARY
Job Class:
Biller
I-II-III-IV
Department:
9630
- Patient Accounts / 9630
- Clinic Management
CORE DUTIES AND RESPONSIBILITIES
Demonstrates 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 the information to complete the 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 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, 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.
CONTACTS
- Within organization-all departments
- Outside organization-insurance companies, doctor offices, nursing homes, patient employers, vocational rehabilitation, and welfare department.
DECISION MAKING
- Decision taken to supervisor for approval: ETO Time Clarification of changes of a procedure
