Revenue Cycle Specialist - A/R Follow Up

Providers' Choice Laboratory is a new generation of laboratory testing and patient care. We provide PCR diagnostic laboratory testing and service providers across the entire state of Louisiana, Mississippi, and Texas. The job position of Revenue Cycle Specialist is an integral part of PCL’s mission of revolutionizing laboratory testing and provider partnerships that ensure all patients receive the timely care they deserve. 

As a Revenue Cycle Specialist at Providers' Choice Laboratory, you will be working in a fast-paced, rapidly growing environment where you will be relied on for your expertise, professionalism and collaboration. 

Responsibilities

• Effectively manage the billing and follow up on aged accounts receivable for all providers and payers

• Responsible for reviewing, researching, coding, and generating third party billing for a medical facility. 

• Ensures timely adjudication of insurance and third-party claims, with minimal outstanding receivables and maximum reimbursement

• Works on intermediate to complex Revenue Cycle Projects in conjunction with the Revenue Cycle Manager and/or Director 

• Identify, research, analyze, and correct problems with overdue/unpaid patient accounts

• Compile data for reports and produce audit reports for electronic filing, etc.

• Answer questions concerning patient accounts and/or division/unit operations

• Discuss billing and accounting operations with other financial service co- workers

• Draft routine correspondence, memos, etc.

• Reconcile patient account(s) with accurate backup documentation and supervisor’s authorization

• Translate/review/verify basic medical record data for patient/billing purposes

• Correspond with insurance companies, hospitals, nursing homes, city and state agencies, clinical physician offices, and law firms

• Inform/instruct co-workers of any insurance updates

• Process refunds and prepare various forms for accounts receivable 

• Assist with Pre-verification responsibilities, as needed.

• Respond to inquiries concerning account balances, third party payments, etc., from patients, relatives and/or third-party payers in a timely manner.

• Routinely review accounts receivable aging reports and date-of-service histories for payment activity.

Qualifications and Requirements

• 2 or more years of physician or hospital billing and A/R follow up experience

• High School Diploma/GED

• Associates or Bachelor’s Degree preferred

• Completion of Medical Billing and Coding program (preferred but not required)

Skills and Competencies

• Understands billing and payer adjudication processes

• Reading and interpreting remits and EOBs

• ICD-10, HCPCS and CPT coding

• Windows-based software applications (i.e., Word, Excel)

• Knowledge of medical terminology and Anatomy and Physiology

Providers' Choice Laboratory provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.