BILLING STAFF Position Available In Jones, Mississippi
Tallo's Job Summary: Billing Staff at South Central Regional Medical Center in Laurel, MS, are responsible for processing commercial insurance claims accurately and timely. Duties include filing claims, follow-ups, maintaining records, and participating in educational programs. Minimum qualifications include typing 30 wpm, billing experience preferred. The position offers training tiers from Biller I to IV based on demonstrated competencies.
Job Description
BILLING STAFF
South Central Regional Medical Center
CLINIC MANAGEMENT SERVICES
Laurel, MS
Clerical
Full Time, Days
Posted 04/09/2025
Req # 13957
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 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 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 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
- 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
