Claims Processing Clerk, Sr. receives and inputs new healthcare claims, processes payments, conducts billing research, and responds to telephone inquires. Evaluates claims and administers payment, denies, or returns claims according to policy provisions and organizational guidelines. Being a Claims Processing Clerk, Sr. produces routine and ad hoc reports. Requires a high school diploma. Additionally, Claims Processing Clerk, Sr. typically reports to a supervisor. The Claims Processing Clerk, Sr. works independently within established procedures associated with the specific job function. Has gained proficiency in multiple competencies relevant to the job. To be a Claims Processing Clerk, Sr. typically requires 3-5 years of related experience. (Copyright 2024 Salary.com)
Responsibilities :
Responsible for the evaluation of donor suitability for automated pheresis procedures. Administration and supervision of approved immunizations other than red blood cell immunizations.
Provides limited emergency medical care to donors and staff, including the administration of medication or treatments in accordance with licensure or certification.
obtaining signature and date certifying informed consent.
Handles medical emergencies at the Center by providing routine care as outlined in Standard Operating Procedures (SOPs);
elevates situations to Center Physician or local medical service providers as required. Periodically checks emergency kits to assure supplies are present and in-date.
Reviews test results and determines continued donor suitability. Follows SOPs regarding acceptable ranges of four-month required test (PE / STS) reports.
Maintains knowledge of and apply all rules regarding four-month approvals and grace periods.
Reviews antibody titer results as required. Maintains awareness of appropriate immunization schedule for each antigen.
Follows all Health Safety & Environmental (HSE) and Occupational Safety and Health Administration (OSHA) policies and procedures.
Promotes safety in all actions. May conduct routine audits of these internal procedures and documentation.
Qualifications :
Our Benefits
Paid Time Off (PTO) for use in connection with vacations, illness, and other personal business; and paid observed holidays as designated by the Company.
For more information on CSL Plasma benefits visit https : / / cslbenefits.com / cslp.
About CSL Plasma
CSL Plasma is one of the world's largest collectors of human plasma. Our work helps to ensure that people with rare and serious diseases are able to live normal, healthy lives.
We are committed to our work because lives depend on us. Learn more about CSL Plasma.
We want CSL to reflect the world around us
As a global organization with employees in 35 countries, CSL embraces diversity and inclusion. Learn more about Diversity & Inclusion at CSL.
Do work that matters at CSL Plasma!
Last updated : 2024-03-07
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